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General NPI Number Information
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NPI Number | 1073914487
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Entity Type | Organization
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Legal Business Name | SM HEALTH, LLC
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Dates
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Enumeration Date | 09/05/2014
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Last Update Date | 06/25/2018
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Provider Practice Location Address
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Address Line | 780 W BEL AIR AVE STE C
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City | ABERDEEN
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State | MD
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Zip | 21001
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Country | US
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Telephone | 833-764-3258
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Fax |
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Provider Business Mailing Address
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Address Line | 2873 TROYER RD
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City | WHITE HALL
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State | MD
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Zip | 21161-9321
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Country | US
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Telephone | 833-764-3258
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NANCY J TURNER
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Credential | RN
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Telephone | 443-504-3018
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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 | R195616
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | R131473
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D40922
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | D40922
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License Number State | MD
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