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General NPI Number Information
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NPI Number | 1548805120
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Entity Type | Individual
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Provider Name | ESTHER IFEOMA EZEANI CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/07/2019
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 1380 PROGRESS WAY STE 102
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City | ELDERSBURG
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State | MD
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Zip | 21784-6498
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Country | US
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Telephone | 443-289-3400
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Fax | 443-289-3480
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Provider Business Mailing Address
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Address Line | 1380 PROGRESS WAY STE 102
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City | ELDERSBURG
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State | MD
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Zip | 21784-6498
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Country | US
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Telephone | 443-289-3400
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Fax | 443-289-3480
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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 | R228757
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License Number State | MD
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