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General NPI Number Information
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NPI Number | 1417351735
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Entity Type | Individual
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Provider Name | ANN MARIE GAMBLE CRNP-FAMILY
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Gender | Female
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Dates
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Enumeration Date | 10/15/2014
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 106 BOW ST
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City | ELKTON
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State | MD
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Zip | 21921-5544
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Country | US
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Telephone | 410-398-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 CAYMAN WAY APT 412
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City | ABINGDON
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State | MD
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Zip | 21009-2886
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Country | US
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Telephone | 302-584-4474
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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 | AN-0024823
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R224551
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R224551
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | LG0011657
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG-0011657
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License Number State | DE
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AC001406
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License Number State | MD
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | L1-0035904
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License Number State | DE
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