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General NPI Number Information
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NPI Number | 1124451133
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Entity Type | Individual
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Provider Name | EMILY EASTBURN HART ACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/13/2013
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Last Update Date | 02/01/2017
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Provider Practice Location Address
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Address Line | 7250 PARKWAY DR SUITE 500
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City | HANOVER
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State | MD
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Zip | 21076-1388
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Country | US
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Telephone | 443-949-0814
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Fax |
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Provider Business Mailing Address
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Address Line | 7250 PARKWAY DR SUITE 500
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City | HANOVER
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State | MD
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Zip | 21076-1388
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Country | US
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Telephone | 443-949-0814
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 43430745
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License Number State | NY
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