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General NPI Number Information
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NPI Number | 1952499642
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Entity Type | Individual
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Provider Name | RENEE C FELLER MS, APRN/PMH
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2 RESERVOIR CIR SUITE 201
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City | PIKESVILLE
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State | MD
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Zip | 21208-6393
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Country | US
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Telephone | 410-484-0809
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Fax |
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Provider Business Mailing Address
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Address Line | 8816 ORCHARD RD
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City | PIKESVILLE
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State | MD
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Zip | 21208-1112
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Country | US
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Telephone | 410-602-2124
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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 | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | RO90533
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License Number State | MD
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