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General NPI Number Information
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NPI Number | 1912546110
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Entity Type | Individual
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Provider Name | SATTA YONDAY SAMURA FNP
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Gender | Female
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Dates
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Enumeration Date | 01/06/2020
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Last Update Date | 04/07/2024
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Provider Practice Location Address
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Address Line | 3521 BUCKEYSTOWN PIKE
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City | BUCKEYSTOWN
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State | MD
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Zip | 21717-1006
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Country | US
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Telephone | 240-215-3338
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Fax |
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Provider Business Mailing Address
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Address Line | 20529 LOWFIELD DR
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City | GERMANTOWN
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State | MD
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Zip | 20874-2817
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Country | US
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Telephone | 301-806-7580
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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 | R189114
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License Number State | MD
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