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General NPI Number Information
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NPI Number | 1215882774
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Entity Type | Organization
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Legal Business Name | MRN HEALTHCARE MANAGEMENT LLC
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 849 FAIRMOUNT AVE STE 200-T8
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City | TOWSON
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State | MD
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Zip | 21286-2624
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Country | US
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Telephone | 443-804-6999
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Fax |
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Provider Business Mailing Address
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Address Line | 314 W LORRAINE AVE
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City | BALTIMORE
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State | MD
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Zip | 21211-3114
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | STELLA MARINE
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Credential |
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Telephone | 443-804-6999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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