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General NPI Number Information
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NPI Number | 1366631574
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Entity Type | Individual
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Provider Name | PATRICIA LOUISE BRANUM RN, BSN
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Gender | Female
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 6401 YORK ROAD, 3RD FLOOR BALTIMORE COUNTY DEPARTMENT OF HEALTH
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City | BALTIMORE
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State | MD
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Zip | 21212-2112
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Country | US
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Telephone | 410-887-2754
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Fax |
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Provider Business Mailing Address
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Address Line | 6401 YORK ROAD, 3RD FLOOR BALTIMORE COUNTY DEPARTMENT OF HEALTH
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City | BALTIMORE
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State | MD
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Zip | 21212-2112
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Country | US
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Telephone | 410-887-2754
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | R148247
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License Number State | MD
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