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General NPI Number Information
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NPI Number | 1922704014
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Entity Type | Individual
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Provider Name | NKEMTAJI ESTHER TAKIH
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Gender | Female
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Dates
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Enumeration Date | 02/01/2023
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Last Update Date | 04/04/2023
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Provider Practice Location Address
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Address Line | 13922 BALTIMORE AVE
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City | LAUREL
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State | MD
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Zip | 20707-5009
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Country | US
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Telephone | 240-765-4351
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Fax |
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Provider Business Mailing Address
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Address Line | 1726 REISTERSTOWN RD
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City | PIKESVILLE
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State | MD
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Zip | 21208-2974
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Country | US
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Telephone | 443-501-3204
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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 | R210000
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License Number State | MD
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