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General NPI Number Information
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NPI Number | 1265846331
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Entity Type | Individual
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Provider Name | EMMA LOUISE MUSSHORN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 10715 LITTLE PATUXENT PKWY STE 100-B
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City | COLUMBIA
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State | MD
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Zip | 21044-3123
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Country | US
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Telephone | 443-917-6647
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Fax | 443-917-6648
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Provider Business Mailing Address
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Address Line | 1925 GLENN MITCHELL DR STE 100
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-0170
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Country | US
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Telephone | 757-689-8430
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Fax | 757-689-8435
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101273111
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0101798
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 18021
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License Number State | NH
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