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General NPI Number Information
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NPI Number | 1770126732
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Entity Type | Individual
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Provider Name | GIFTY ADDAI-PICKETT DNP, CRNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/22/2019
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 10306 EATON PL STE 300-M12
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City | FAIRFAX
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State | VA
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Zip | 22030-2201
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Country | US
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Telephone | 703-223-9359
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Fax | 866-559-3359
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Provider Business Mailing Address
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Address Line | 10630 LITTLE PATUXENT PKWY STE 314K
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City | COLUMBIA
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State | MD
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Zip | 21044-6216
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Country | US
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Telephone | 443-917-4211
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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 | 2019059727
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License Number State | VA
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