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General NPI Number Information
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NPI Number | 1447070149
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Entity Type | Individual
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Provider Name | SARAH SALLAY NYELENKEH CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | CONSORTIUM HEALTH AND REHAB CENTER 3240 BELAIR ROAD
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City | BALTIMORE
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State | MD
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Zip | 21213
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Country | US
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Telephone | 410-469-0972
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Fax |
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Provider Business Mailing Address
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Address Line | 7979 TRAILVIEW XING
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City | GLEN BURNIE
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State | MD
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Zip | 21060-8493
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Country | US
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Telephone | 240-581-2581
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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 | F07241064
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License Number State | MD
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