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General NPI Number Information
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NPI Number | 1790294924
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Entity Type | Individual
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Provider Name | PINKY DECKER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 7474 GREENWAY CENTER DR STE 300
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City | GREENBELT
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State | MD
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Zip | 20770-3592
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Country | US
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Telephone | 240-624-2278
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Fax |
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Provider Business Mailing Address
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Address Line | 8665 GEORGIA AVE
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City | SILVER SPRING
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State | MD
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Zip | 20910-3405
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Country | US
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Telephone | 240-839-4387
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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 | R206983
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License Number State | MD
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