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General NPI Number Information
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NPI Number | 1588701486
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Entity Type | Individual
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Provider Name | DOREEN F GAGNE NP
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 05/17/2024
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Provider Practice Location Address
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Address Line | 520 UPPER CHESAPEAKE DR STE 206
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City | BEL AIR
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State | MD
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Zip | 21014-4360
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Country | US
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Telephone | 410-879-9100
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Fax | 410-838-3853
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Provider Business Mailing Address
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Address Line | 520 UPPER CHESAPEAKE DR STE 206
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City | BEL AIR
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State | MD
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Zip | 21014-4360
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Country | US
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Telephone | 443-433-6663
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R094550
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License Number State | MD
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