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General NPI Number Information
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NPI Number | 1265027700
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Entity Type | Individual
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Provider Name | MARIAH MUSE CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/06/2021
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 10084 REISTERSTOWN RD STE 200A
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4096
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Country | US
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Telephone | 410-552-5050
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Fax | 410-356-7505
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Provider Business Mailing Address
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Address Line | 2860 PELHAM CT
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City | HAMPSTEAD
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State | MD
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Zip | 21074-1238
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Country | US
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Telephone | 410-868-7600
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R206959
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License Number State | MD
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