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General NPI Number Information
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NPI Number | 1710760368
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Entity Type | Individual
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Provider Name | MAME MAGUETTE GODO
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Gender | Female
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Dates
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Enumeration Date | 08/17/2023
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 1305 W 7TH ST STE 28
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City | FREDERICK
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State | MD
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Zip | 21702-4100
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Country | US
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Telephone | 301-228-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 3301 VELVET VALLEY DR
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City | WEST FRIENDSHIP
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State | MD
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Zip | 21794-9430
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Country | US
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Telephone | 443-823-3409
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R189487
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License Number State | MD
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