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General NPI Number Information
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NPI Number | 1568288090
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Entity Type | Individual
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Provider Name | EILEEN BYRNE CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/30/2024
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Last Update Date | 11/30/2024
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Provider Practice Location Address
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Address Line | 11886 HEALING WAY STE 701
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City | SILVER SPRING
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State | MD
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Zip | 20904-7917
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Country | US
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Telephone | 301-933-3216
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Fax | 832-601-6868
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Provider Business Mailing Address
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Address Line | 1800 S HANOVER ST APT 119
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City | BALTIMORE
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State | MD
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Zip | 21230-4979
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Country | US
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Telephone | 732-425-6157
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | R233677
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License Number State | MD
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