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General NPI Number Information
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NPI Number | 1629339106
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Entity Type | Individual
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Provider Name | MARIA F EBE
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Gender | Female
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Dates
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Enumeration Date | 05/31/2012
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 3401 DODGE PARK RD APT 302
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City | LANDOVER
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State | MD
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Zip | 20785-2004
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Country | US
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Telephone | 240-386-9304
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 DODGE PARK RD APT 302
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City | LANDOVER
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State | MD
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Zip | 20785-2004
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Country | US
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Telephone | 240-386-9304
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LPN2000084
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License Number State | DC
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