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General NPI Number Information
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NPI Number | 1730518812
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Entity Type | Individual
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Provider Name | MARILYN BERCHIE CRNP-FNP
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Gender | Female
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Dates
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Enumeration Date | 11/08/2013
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Last Update Date | 06/10/2014
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Provider Practice Location Address
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Address Line | 826 WASHINGTON RD SUITE 112
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City | WESTMINSTER
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State | MD
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Zip | 21157-5750
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Country | US
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Telephone | 443-693-7246
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Fax | 866-605-3655
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Provider Business Mailing Address
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Address Line | 7920 MCDONOGH RD SUITE 201
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5273
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Country | US
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Telephone | 443-693-7246
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Fax | 866-902-5997
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R186965
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License Number State | MD
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