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General NPI Number Information
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NPI Number | 1174101786
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Entity Type | Individual
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Provider Name | RUTH BISSELL CRNP-PMH
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Gender | Female
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 300 N UNION AVE
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City | HAVRE DE GRACE
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State | MD
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Zip | 21078-2825
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Country | US
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Telephone | 732-983-2200
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Fax | 443-390-1411
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Provider Business Mailing Address
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Address Line | 300 N UNION AVE
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City | HAVRE DE GRACE
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State | MD
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Zip | 21078-2825
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Country | US
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Telephone | 732-983-2200
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Fax | 443-390-1411
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R236347
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | R236347
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License Number State | MD
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