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General NPI Number Information
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NPI Number | 1700558236
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Entity Type | Individual
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Provider Name | TINA M VEST PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/03/2021
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 5022 CAMPBELL BLVD STE L-M
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City | NOTTINGHAM
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State | MD
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Zip | 21236-4969
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Country | US
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Telephone | 443-442-1568
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Fax | 443-442-1569
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Provider Business Mailing Address
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Address Line | 4132 E JOPPA RD STE 110-1338
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City | BALTIMORE
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State | MD
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Zip | 21236-2272
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Country | US
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Telephone | 443-955-0509
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R137484
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License Number State | MD
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