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General NPI Number Information
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NPI Number | 1093901274
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Entity Type | Individual
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Provider Name | DEBORAH M. REID FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 312 PARK ROW
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City | CHESTERTOWN
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State | MD
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Zip | 21620-1550
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Country | US
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Telephone | 410-990-1202
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Fax | 410-990-1203
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Provider Business Mailing Address
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Address Line | 312 PARK ROW
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City | CHESTERTOWN
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State | MD
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Zip | 21620-1550
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Country | US
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Telephone | 410-990-1202
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Fax | 410-990-1203
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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 | RN280341
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 79411
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024169074
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R213017
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License Number State | MD
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