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General NPI Number Information
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NPI Number | 1457029076
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Entity Type | Individual
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Provider Name | ERIN MARIE MAYNARD FNP-BC, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/30/2021
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 314 GROVE NECK RD
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City | EARLEVILLE
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State | MD
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Zip | 21919-3008
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Country | US
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Telephone | 443-282-1197
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Fax |
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Provider Business Mailing Address
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Address Line | 22 MASON LN
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City | NORTH EAST
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State | MD
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Zip | 21901-6214
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Country | US
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Telephone | 443-340-4573
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R201428
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | R201418
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License Number State | MD
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