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General NPI Number Information
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NPI Number | 1740496520
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Entity Type | Individual
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Provider Name | ANN REILLY NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7601 OSLER DR
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City | TOWSON
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State | MD
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Zip | 21204-7700
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Country | US
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Telephone | 410-337-1470
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Fax | 410-337-1528
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Provider Business Mailing Address
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Address Line | 7311 SILENT BIRD CT
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City | COLUMBIA
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State | MD
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Zip | 21046-1247
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Country | US
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Telephone | 410-381-6638
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R119577
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License Number State | MD
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