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General NPI Number Information
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NPI Number | 1912132325
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Entity Type | Individual
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Provider Name | GEEBIN MAK RN, CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/29/2009
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Last Update Date | 07/26/2010
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Provider Practice Location Address
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Address Line | 1500 THAMES ST UNIT 305
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City | BALTIMORE
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State | MD
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Zip | 21231-3443
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Country | US
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Telephone | 310-430-4126
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Fax |
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Provider Business Mailing Address
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Address Line | 7816 MULBERRY BOTTOM LN
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City | SPRINGFIELD
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State | VA
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Zip | 22153-2313
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Country | US
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Telephone | 310-430-4126
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001194656
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | AC000696
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AC000696
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License Number State | MD
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