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General NPI Number Information
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NPI Number | 1881933182
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Entity Type | Individual
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Provider Name | MADELYN HIRSCH GRINC CRNP
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Gender | Female
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Dates
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Enumeration Date | 02/06/2013
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 11085 LITTLE PATUXENT PKWY
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City | COLUMBIA
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State | MD
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Zip | 21044-2983
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Country | US
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Telephone | 410-740-7838
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Fax | 410-740-7685
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Provider Business Mailing Address
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Address Line | 11085 LITTLE PATUXENT PKWY
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City | COLUMBIA
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State | MD
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Zip | 21044-2983
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Country | US
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Telephone | 410-740-7838
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Fax | 410-740-7685
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R184722
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R184722
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License Number State | MD
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