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General NPI Number Information
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NPI Number | 1669539631
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Entity Type | Individual
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Provider Name | LEESA MAIRE EMENAKER RN, BSN, OCN
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Gender | Female
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2501 OAKINGTON ST
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City | ABERDEEN PROVING GROUND
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State | MD
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Zip | 21005-5131
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Country | US
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Telephone | 410-278-5432
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Fax |
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Provider Business Mailing Address
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Address Line | 1705 PEBBLE BEACH DR
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City | ELKTON
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State | MD
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Zip | 21921-6345
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Country | US
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Telephone | 757-270-5830
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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 | 163WX0200X
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Taxonomy Name | Oncology Registered Nurse
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License Number | R9128107
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License Number State | MD
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