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General NPI Number Information
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NPI Number | 1932804622
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Entity Type | Individual
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Provider Name | MAUREEN ELIZABETH SUTHERLAND-WILLIAMS NP
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Gender | Female
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 3240 S COBB DR SE STE 800
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City | SMYRNA
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State | GA
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Zip | 30080-4112
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Country | US
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Telephone | 470-604-4361
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Fax | 800-339-9897
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Provider Business Mailing Address
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Address Line | 25 CROSSROADS DR STE 205
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5533
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Country | US
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Telephone | 410-602-7792
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Fax | 410-602-9889
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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 | APRN-NP338636
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F11210806
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License Number State | MD
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