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General NPI Number Information
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NPI Number | 1649369604
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Entity Type | Individual
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Provider Name | JANICE L MATHEWS ACNP, ANP
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Gender | Female
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 2002 MEDICAL PKWY STE 500
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3268
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Country | US
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Telephone | 410-573-6480
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Fax | 410-573-9413
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Provider Business Mailing Address
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Address Line | 7400 FORESTS EDGE CT
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City | LAUREL
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State | MD
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Zip | 20707-9428
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Country | US
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Telephone | 682-465-8185
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Fax | 682-465-8185
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 436302
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 436308
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License Number State | TX
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