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General NPI Number Information
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NPI Number | 1528492386
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Entity Type | Individual
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Provider Name | NANCY G RUSSELL FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/29/2013
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 3800 RESERVOIR RD NW GROUND FLOOR, DARNALL HALL, SUITE G20
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City | WASHINGTON
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State | DC
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Zip | 20007-2113
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Country | US
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Telephone | 202-687-2240
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone | 410-933-0000
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Fax | 410-500-4266
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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 | NP1038800
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5006364
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License Number State | NC
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