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General NPI Number Information
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NPI Number | 1417986365
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Entity Type | Individual
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Provider Name | BETH L. EMAMI CRNP
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Gender | Female
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 04/05/2018
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Provider Practice Location Address
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Address Line | 6569 N CHARLES ST STE 307
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City | BALTIMORE
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State | MD
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Zip | 21204-5816
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Country | US
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Telephone | 443-849-2767
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Fax |
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Provider Business Mailing Address
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Address Line | 14149 LINE RD
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City | NEW FREEDOM
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State | PA
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Zip | 17349-9102
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Country | US
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Telephone | 717-235-8860
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP008709
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License Number State | PA
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