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General NPI Number Information
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NPI Number | 1053619346
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Entity Type | Individual
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Provider Name | NAOMI E ELCOCK RN
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Gender | Female
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Dates
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Enumeration Date | 03/10/2011
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 15400 MOUNT OAK RD
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City | BOWIE
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State | MD
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Zip | 20716-1246
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Country | US
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Telephone | 310-613-0110
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Fax | 301-390-2549
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Provider Business Mailing Address
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Address Line | 15400 MOUNT OAK RD
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City | BOWIE
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State | MD
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Zip | 20716-1246
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Country | US
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Telephone | 301-613-0110
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Fax | 410-523-0202
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R075339
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | R075339
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | R075339
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number | R075339
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | R075339
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 163WH0500X
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Taxonomy Name | Hemodialysis Registered Nurse
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License Number | R075339
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License Number State | MD
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Taxonomy #7
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | R075339
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License Number State | MD
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Taxonomy #8
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | R075339
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License Number State | MD
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Taxonomy #9
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | R075339
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License Number State | MD
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