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General NPI Number Information
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NPI Number | 1073452777
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Entity Type | Individual
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Provider Name | PAMELA LYNN WRENCH
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Gender | Female
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 9861 BROKEN LAND PKWY STE 100
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City | COLUMBIA
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State | MD
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Zip | 21046-3031
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Country | US
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Telephone | 667-230-5316
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Fax |
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Provider Business Mailing Address
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Address Line | 3419 MERLE DR
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City | WINDSOR MILL
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State | MD
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Zip | 21244-3666
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Country | US
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Telephone | 667-230-5316
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | R147671
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License Number State | MD
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