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General NPI Number Information
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NPI Number | 1316474315
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Entity Type | Individual
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Provider Name | SCHERRA BOARMAN CRNP-PMH
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Gender | Female
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Dates
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Enumeration Date | 05/22/2017
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Last Update Date | 03/29/2022
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Provider Practice Location Address
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Address Line | 3001 S HANOVER ST FL 6
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City | BALTIMORE
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State | MD
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Zip | 21225-1233
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Country | US
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Telephone | 443-792-8586
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Fax |
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Provider Business Mailing Address
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Address Line | 695 KIRKCALDY WAY
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City | ABINGDON
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State | MD
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Zip | 21009-2417
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Country | US
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Telephone | 443-903-4974
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | R209746
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R209746
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License Number State | MD
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