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General NPI Number Information
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NPI Number | 1811409659
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Entity Type | Individual
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Provider Name | STEPHANIE L CARPENTER FNP
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Gender | Female
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Dates
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Enumeration Date | 11/02/2017
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 100 CAMPUS CIR
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City | OWINGS MILLS
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State | MD
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Zip | 21117-7803
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Country | US
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Telephone | 443-352-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 718 BAYBERRY CIR
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City | WESTMINSTER
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State | MD
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Zip | 21157-5709
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Country | US
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Telephone | 301-639-3494
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R111489
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License Number State | MD
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