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General NPI Number Information
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NPI Number | 1245529882
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Entity Type | Individual
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Provider Name | SHANNON MARY LANGMEAD APN-BC
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Gender | Female
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 601 N CAROLINE ST 5TH FLOOR-NEUROLOGY DEPARTMENT
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City | BALTIMORE
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State | MD
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Zip | 21287-0006
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Country | US
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Telephone | 410-502-6732
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Fax | 410-614-0845
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Provider Business Mailing Address
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Address Line | 600 N WOLFE ST PHIPPS 117
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City | BALTIMORE
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State | MD
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Zip | 21287-0005
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Country | US
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Telephone | 410-502-6732
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Fax | 410-614-0845
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R163813
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License Number State | MD
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