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General NPI Number Information
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NPI Number | 1174859821
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Entity Type | Individual
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Provider Name | LINDSAY ANNE AUSHERMAN CPNP
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Gender | Female
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Dates
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Enumeration Date | 10/29/2009
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Last Update Date | 10/29/2009
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Provider Practice Location Address
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Address Line | 6900 PARK HEIGHTS AVE
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City | BALTIMORE
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State | MD
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Zip | 21215-1608
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Country | US
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Telephone | 410-396-3504
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Fax |
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Provider Business Mailing Address
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Address Line | 1605 LIGHT ST
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City | BALTIMORE
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State | MD
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Zip | 21230-4916
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Country | US
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Telephone | 276-952-5566
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | R174971
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License Number State | MD
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