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General NPI Number Information
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NPI Number | 1760510069
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Entity Type | Individual
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Provider Name | THERESA A. ANOKAM CPNP
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 7375 EXECUTIVE PL STE 100
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City | LANHAM
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State | MD
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Zip | 20706-6234
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Country | US
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Telephone | 240-564-5989
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 576
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City | LANHAM
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State | MD
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Zip | 20703-0576
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Country | US
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Telephone | 301-464-8714
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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 | R129855
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R129855
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License Number State | MD
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