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Individual
EMMA MEAN
Active
Individual
EMMA MEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
275386
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154716736
—
NC
05
—
NP3239
—
SC
Enumeration date
04/01/2015
Last updated
12/28/2015
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