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General NPI Number Information
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NPI Number | 1811202104
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Entity Type | Individual
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Provider Name | JULIE TWIGG PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/11/2010
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 4500 BLACK ROCK RD STE 103
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City | HAMPSTEAD
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State | MD
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Zip | 21074-2649
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Country | US
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Telephone | 877-806-1501
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Fax | 410-835-9435
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Provider Business Mailing Address
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Address Line | 2811 RAINBOW DR
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City | WESTMINSTER
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State | MD
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Zip | 21157-7657
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Country | US
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Telephone |
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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 | R177564
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License Number State | MD
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