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General NPI Number Information
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NPI Number | 1871101592
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Entity Type | Individual
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Provider Name | MELISHA RENEE SPAHR RN
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Gender | Female
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 9000 FRANKLIN SQUARE DRIVE
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City | BALTIMORE
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State | MD
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Zip | 21237
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Country | US
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Telephone | 443-725-8245
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Fax | 443-725-8217
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Provider Business Mailing Address
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Address Line | 3 BURNS CROSSING RD
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City | SEVERN
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State | MD
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Zip | 21144-3218
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Country | US
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Telephone | 443-756-7164
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R177708
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License Number State | MD
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