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General NPI Number Information
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NPI Number | 1629730023
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Entity Type | Individual
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Provider Name | BENEDICTA YANKEY NP
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Gender | Female
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Dates
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Enumeration Date | 10/13/2021
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Last Update Date | 10/26/2021
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Provider Practice Location Address
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Address Line | 401 N BROADWAY ST
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City | BALTIMORE
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State | MD
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Zip | 21287-0019
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Country | US
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Telephone | 917-592-8080
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Fax |
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Provider Business Mailing Address
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Address Line | 7200 ALDEN WAY APT 5023
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City | HANOVER
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State | MD
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Zip | 21076-2355
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WX0200X
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Taxonomy Name | Oncology Registered Nurse
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License Number | R223865
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | R223865
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | R223885
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License Number State | MD
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