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General NPI Number Information
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NPI Number | 1750466850
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Entity Type | Individual
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Provider Name | DONNA LYNN KIRBY CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 401 BOW ST
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City | ELKTON
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State | MD
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Zip | 21921-5501
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Country | US
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Telephone | 410-996-5100
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Fax | 410-996-1019
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Provider Business Mailing Address
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Address Line | 127 CARLOTTA DR
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City | BEAR
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State | DE
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Zip | 19701-2105
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Country | US
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Telephone | 302-834-0434
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AC000301
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License Number State | MD
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