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General NPI Number Information
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NPI Number | 1437195062
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Entity Type | Individual
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Provider Name | EILEEN GEMMELL CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 08/30/2018
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Provider Practice Location Address
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Address Line | 3110 GRACEFIELD RD
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City | SILVER SPRING
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State | MD
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Zip | 20904
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Country | US
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Telephone | 301-572-8340
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Fax | 301-572-8403
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Provider Business Mailing Address
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Address Line | 5525 RESEARCH PARK DR FL 4
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City | BALTIMORE
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State | MD
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Zip | 21228-4873
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Country | US
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Telephone | 301-572-8340
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Fax | 301-572-8403
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R158667
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License Number State | MD
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