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General NPI Number Information
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NPI Number | 1598920365
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Entity Type | Organization
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Legal Business Name | NMSHEALTHCARE
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 4922 LASALLE RD
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City | HYATTSVILLE
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State | MD
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Zip | 20782-3302
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Country | US
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Telephone | 301-910-7967
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Fax | 301-864-1095
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Provider Business Mailing Address
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Address Line | 4922 LASALLE RD
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City | HYATTSVILLE
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State | MD
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Zip | 20782-3302
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Country | US
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Telephone | 301-910-7967
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Fax | 301-864-1095
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Authorized Official
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Title or Position | DIRECTOR OF NURSE PRACTITIONER
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Name | MS. DARLENE M BROWNLEE
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Credential | CRNP
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Telephone | 301-910-7967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | R129919
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License Number State | MD
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