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General NPI Number Information
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NPI Number | 1871512350
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Entity Type | Individual
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Provider Name | MS. COURTNEY MARSHALL
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 2124 PRIEST BRIDGE DR STE 10
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City | CROFTON
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State | MD
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Zip | 21114-2429
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Country | US
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Telephone | 410-451-3000
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Fax | 410-630-7625
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Provider Business Mailing Address
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Address Line | 2124 PRIEST BRIDGE DR STE 10
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City | CROFTON
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State | MD
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Zip | 21114-2429
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Country | US
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Telephone | 410-451-3000
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Fax | 410-630-7625
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | R163464
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R163464
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License Number State | MD
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