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NPI 1790091627

NPI 1790091627 : MONA THAPA M.D. : EMMITSBURG, MD

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General NPI Number Information
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    NPI Number           |    1790091627
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    Entity Type          |    Individual 
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    Provider Name        |    MONA THAPA M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/30/2010
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    Last Update Date     |    02/29/2024
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Provider Practice Location Address
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    Address Line         |    9701 KEYSVILLE RD 
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    City                 |    EMMITSBURG
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    State                |    MD
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    Zip                  |    21727-8619
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    Country              |    US
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    Telephone            |    301-447-2360
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    Fax                  |    203-781-4624
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Provider Business Mailing Address
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    Address Line         |    9701 KEYSVILLE RD 
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    City                 |    EMMITSBURG
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    State                |    MD
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    Zip                  |    21727-8619
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    Country              |    US
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    Telephone            |    301-447-2361
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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        |    2084A0401X
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    Taxonomy Name        |    Addiction Medicine (Psychiatry & Neurology) Physician
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    License Number       |    053193
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    License Number State |    CT
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    053193
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    License Number State |    CT
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Taxonomy #3
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    Taxonomy Code        |    2084P0802X
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    Taxonomy Name        |    Addiction Psychiatry Physician
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    License Number       |    D-83016
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    License Number State |    MD
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