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General NPI Number Information
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NPI Number | 1962009449
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Entity Type | Individual
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Provider Name | JULIA SANCARRANCO NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 10/07/2020
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 3093 BEVERLY LN UNIT A
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City | CAMBRIDGE
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State | MD
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Zip | 21613-3433
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Country | US
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Telephone | 321-750-7699
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Fax | 410-600-3939
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Provider Business Mailing Address
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Address Line | 1125 WEST ST. SUITE 200 #311
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City | ANNAPOLIS
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State | MD
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Zip | 21401
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Country | US
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Telephone | 321-750-7699
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | ACC003355
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AC003355
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AC007079
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License Number State | MD
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