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General NPI Number Information
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NPI Number | 1437971413
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Entity Type | Organization
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Legal Business Name | LITTLE OAK PEDIATRICS LLC
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 7652 BELAIR RD STE A
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City | NOTTINGHAM
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State | MD
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Zip | 21236-4067
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Country | US
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Telephone | 443-524-2713
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Fax | 443-399-1282
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Provider Business Mailing Address
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Address Line | 7652 BELAIR RD STE A
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City | NOTTINGHAM
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State | MD
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Zip | 21236-4067
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Country | US
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Telephone | 443-524-2712
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Fax | 443-399-1282
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Authorized Official
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Title or Position | NURSE PRACTITIONER/OWNER
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Name | EMILY A. BURR
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Credential | CRNP
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Telephone | 850-384-1353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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