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General NPI Number Information
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NPI Number | 1760143077
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Entity Type | Organization
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Legal Business Name | NNNP LLC
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Dates
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Enumeration Date | 01/08/2022
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 10440 LITTLE PATUXENT PKWY STE 300
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City | COLUMBIA
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State | MD
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Zip | 21044-3648
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Country | US
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Telephone | 240-491-1442
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Fax | 800-948-9107
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Provider Business Mailing Address
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Address Line | 10440 LITTLE PATUXENT PKWY STE 300
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City | COLUMBIA
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State | MD
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Zip | 21044-3648
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Country | US
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Telephone | 240-491-1442
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Fax | 800-948-9107
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | MS. LAUREN SHRESTHA CANO
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Credential | CRNP
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Telephone | 240-491-1442
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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 |
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License Number State |
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