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General NPI Number Information
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NPI Number | 1376960500
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Entity Type | Organization
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Legal Business Name | NANCY E PROSSER M.D., PA
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 03/26/2014
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Provider Practice Location Address
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Address Line | 742 JOPPA FARM RD
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City | JOPPA
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State | MD
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Zip | 21085-4452
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Country | US
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Telephone | 410-679-2020
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Fax | 410-679-9817
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Provider Business Mailing Address
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Address Line | 742 JOPPA FARM RD
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City | JOPPA
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State | MD
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Zip | 21085-4452
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Country | US
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Telephone | 410-679-2020
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Fax | 410-679-9817
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Authorized Official
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Title or Position | DOCTOR
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Name | MRS. NANCY E PROSSER
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Credential | MD
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Telephone | 410-679-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | D31093
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License Number State | MD
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