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General NPI Number Information
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NPI Number | 1245049592
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Entity Type | Individual
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Provider Name | PATRICK KORB CRNP-PMH
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Gender | Male
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 9000 ROCKVILLE PIKE
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City | BETHESDA
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State | MD
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Zip | 20892
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Country | US
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Telephone | 301-496-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 10416 MONTROSE AVE APT 203
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City | BETHESDA
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State | MD
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Zip | 20814-4139
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Country | US
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Telephone | 240-971-8838
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R174274
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License Number State | MD
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