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NPI 1952461485

NPI 1952461485 : CORNELIA ELLEN PAPPAS APRN,B.C. : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1952461485
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    Entity Type          |    Individual 
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    Provider Name        |    CORNELIA ELLEN PAPPAS APRN,B.C.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/12/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    3400 N CHARLES ST JOHNS HOPKINS UNIVERSITY AMR 2 STUDENT HEALTH CENTER
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21218-2608
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    Country              |    US
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    Telephone            |    410-516-8073
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    Fax                  |    410-516-4784
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Provider Business Mailing Address
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    Address Line         |    1808 RIVER WATCH LN 
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    City                 |    ANNAPOLIS
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    State                |    MD
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    Zip                  |    21401-2009
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    Country              |    US
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    Telephone            |    410-841-2580
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    Fax                  |    410-224-3774
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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        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    RO75892
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    License Number State |    MD
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