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General NPI Number Information
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NPI Number | 1104975549
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Entity Type | Individual
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Provider Name | AMY J RUSHTON APRN BC
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Gender | Female
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 208 MONROE ST
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City | ROCKVILLE
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State | MD
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Zip | 20850
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Country | US
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Telephone | 301-309-8200
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Fax | 301-309-9667
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Provider Business Mailing Address
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Address Line | 208 MONROE ST
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City | ROCKVILLE
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State | MD
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Zip | 20850
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Country | US
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Telephone | 301-309-8200
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Fax | 301-309-9667
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | AC000210
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 0015000797
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License Number State | VA
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