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General NPI Number Information
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NPI Number | 1225562937
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Entity Type | Individual
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Provider Name | RANI MATHEW GEORGE CRNP-PMH
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Gender | Female
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Dates
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Enumeration Date | 04/19/2017
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Last Update Date | 07/01/2024
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Provider Practice Location Address
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Address Line | 31575 WINTERPLACE PKWY
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City | SALISBURY
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State | MD
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Zip | 21804-1882
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Country | US
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Telephone | 410-642-4011
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Fax | 410-630-1654
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Provider Business Mailing Address
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Address Line | 6508 DEER POINTE DR # 4C
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City | SALISBURY
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State | MD
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Zip | 21804-1668
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Country | US
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Telephone | 410-742-6016
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Fax | 410-742-6014
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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 | R174498
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License Number State | MD
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