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General NPI Number Information
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NPI Number | 1467140483
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Entity Type | Individual
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Provider Name | SHAMEKA MCKNIGHT CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/27/2023
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 3421 E NORTHERN PKWY
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City | BALTIMORE
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State | MD
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Zip | 21206-1625
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Country | US
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Telephone | 443-803-4825
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Fax | 410-237-0245
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Provider Business Mailing Address
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Address Line | 3421 E NORTHERN PKWY
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City | BALTIMORE
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State | MD
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Zip | 21206-1625
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Country | US
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Telephone | 443-803-4825
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Fax | 410-237-0245
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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 | R213338
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License Number State | MD
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