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General NPI Number Information
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NPI Number | 1003645581
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Entity Type | Individual
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Provider Name | DAWN SHERRYL S NWAEBUBE DNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/31/2024
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 655 W LOMBARD ST
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City | BALTIMORE
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State | MD
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Zip | 21201-1512
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Country | US
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Telephone | 410-706-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 10301 GRAND CENTRAL AVE APT 329
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4073
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Country | US
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Telephone | 919-349-0282
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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 | R233815
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License Number State | MD
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