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General NPI Number Information
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NPI Number | 1497687735
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Entity Type | Organization
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Legal Business Name | DRAGONFLY PEDIATRICS, LLC
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 120 RYAN DR
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City | RISING SUN
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State | MD
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Zip | 21911-1840
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Country | US
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Telephone | 443-907-5279
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Fax |
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Provider Business Mailing Address
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Address Line | 17 W BRANCH CIR
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City | NORTH EAST
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State | MD
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Zip | 21901-1142
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Country | US
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Telephone | 443-907-5279
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC NURSE PRACTITIONER
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Name | ASHLEY SHEILA GRAYBEAL
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Credential | APRN
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Telephone | 443-907-5279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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