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General NPI Number Information
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NPI Number | 1740868355
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Entity Type | Individual
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Provider Name | SHERRY AMANKWA MSN, APRN, FNP -C
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Gender | Female
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 14207 PARK CENTER DR
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City | LAUREL
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State | MD
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Zip | 20707-5248
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Country | US
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Telephone | 301-248-5141
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Fax |
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Provider Business Mailing Address
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Address Line | 14207 PARK CENTER DR
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City | LAUREL
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State | MD
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Zip | 20707-5248
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Country | US
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Telephone | 301-248-5141
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R213678
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F02211167
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License Number State | MD
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