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General NPI Number Information
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NPI Number | 1649993684
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Entity Type | Individual
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Provider Name | SPENCER FRANCES MARTIN CRNP
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Gender | Female
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 2001 MEDICAL PKWY
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3773
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Country | US
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Telephone | 410-507-8279
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Fax |
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Provider Business Mailing Address
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Address Line | 105 MARION QUIMBY DR
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City | STEVENSVILLE
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State | MD
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Zip | 21666-2529
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Country | US
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Telephone | 443-838-7200
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | R220752
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | R220752
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R220752
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License Number State | MD
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