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General NPI Number Information
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NPI Number | 1407941214
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Entity Type | Individual
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Provider Name | BEVERLY SIMPLER CLARKE M.S.N., R.N., C.R.N.
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 100 BROWN ST
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City | CHESTERTOWN
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State | MD
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Zip | 21620-1435
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Country | US
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Telephone | 410-778-1420
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Fax | 410-778-7086
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Provider Business Mailing Address
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Address Line | 29600 MORGNEC RD
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City | MILLINGTON
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State | MD
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Zip | 21651-1220
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Country | US
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Telephone |
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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 | R109133
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License Number State | MD
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