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General NPI Number Information
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NPI Number | 1639721152
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Entity Type | Individual
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Provider Name | SANDRA LEE HOERR DNP, CPNP
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Gender | Female
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Dates
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Enumeration Date | 07/15/2019
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Last Update Date | 06/23/2020
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Provider Practice Location Address
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Address Line | 602 S ATWOOD ROAD SUITE 104
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City | BEL AIR
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State | MD
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Zip | 21014
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Country | US
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Telephone | 410-838-9555
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Fax | 410-836-5056
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Provider Business Mailing Address
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Address Line | 602 S ATWOOD ROAD SUITE 104
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City | BEL AIR
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State | MD
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Zip | 21014
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Country | US
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Telephone | 410-838-9555
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Fax | 410-836-5056
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | R198025
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License Number State | MD
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