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General NPI Number Information
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NPI Number | 1467246074
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Entity Type | Individual
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Provider Name | TOYNESHA NICOLE GARTLEY
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Gender | Female
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 5601 LOCH RAVEN BLVD
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City | BALTIMORE
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State | MD
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Zip | 21239-2950
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Country | US
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Telephone | 443-954-6719
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Fax |
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Provider Business Mailing Address
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Address Line | 820 LONG DR APT 248
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City | ABERDEEN
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State | MD
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Zip | 21001-1151
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Country | US
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Telephone | 989-992-5000
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | R247106
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License Number State | MD
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