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General NPI Number Information
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NPI Number | 1700261161
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Entity Type | Individual
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Provider Name | AMBER JOBE CRNP
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Gender | Female
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Dates
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Enumeration Date | 07/28/2015
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Last Update Date | 03/24/2024
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Provider Practice Location Address
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Address Line | 1965 GREENSPRING DR STE 211
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City | TIMONIUM
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State | MD
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Zip | 21093-4137
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Country | US
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Telephone | 410-846-2068
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Fax | 443-705-0090
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Provider Business Mailing Address
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Address Line | 7210 ELKRIDGE CROSSING WAY
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City | ELKRIDGE
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State | MD
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Zip | 21075-5423
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Country | US
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Telephone | 412-389-8441
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Fax | 443-705-0090
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R179962
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 163WN0800X
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Taxonomy Name | Neuroscience Registered Nurse
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License Number | RI179962
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License Number State | MD
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