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General NPI Number Information
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NPI Number | 1629864079
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Entity Type | Individual
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Provider Name | KAREN DICOCCO APRN/CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 15005 SHADY GROVE RD STE 400
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City | ROCKVILLE
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State | MD
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Zip | 20850-6321
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Country | US
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Telephone | 855-940-4867
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Fax |
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Provider Business Mailing Address
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Address Line | 5629 COMPTON LN
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City | ELDERSBURG
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State | MD
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Zip | 21784-8867
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Country | US
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Telephone | 443-676-0912
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Fax | 443-676-0912
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R220549
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License Number State | MD
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