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General NPI Number Information
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NPI Number | 1811102650
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Entity Type | Individual
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Provider Name | PATRICIA WINCHESTER UNDERLAND M.S., CPNP
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 720 RUTLAND AVE ROSS 1125 JOHNS HOPKINS UNIVERSITY
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City | BALTIMORE
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State | MD
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Zip | 21205
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Country | US
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Telephone | 410-614-0834
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Fax | 410-502-5114
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Provider Business Mailing Address
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Address Line | 781 LEISTER DR
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City | LUTHERVILLE
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State | MD
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Zip | 21093-7440
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Country | US
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Telephone | 410-614-0834
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Fax | 410-502-5114
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RO82476
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License Number State | MD
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