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General NPI Number Information
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NPI Number | 1871937482
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Entity Type | Individual
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Provider Name | JOSEPHINE TAFIE CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/25/2013
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 14300 CHERRY LANE CT STE 108
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City | LAUREL
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State | MD
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Zip | 20707-4978
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Country | US
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Telephone | 240-713-8080
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Fax | 240-993-5700
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Provider Business Mailing Address
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Address Line | 14280 BALTIMORE AVE STE 1026
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City | LAUREL
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State | MD
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Zip | 20707-5006
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Country | US
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Telephone | 240-713-8080
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Fax | 240-993-5700
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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 | RN1025224
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN1025224
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R202692
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License Number State | MD
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