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General NPI Number Information
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NPI Number | 1972092740
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Entity Type | Individual
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Provider Name | YVONNE NONYELUM OBIKE CRNP
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Gender | Female
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 5457 TWIN KNOLLS RD STE 100
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City | COLUMBIA
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State | MD
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Zip | 21045-3263
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Country | US
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Telephone | 410-689-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 MERCANTILE LN STE 200
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City | LARGO
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State | MD
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Zip | 20774-5340
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Country | US
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Telephone | 301-357-9751
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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 | R208795
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License Number State | MD
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