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General NPI Number Information
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NPI Number | 1003426065
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Entity Type | Organization
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Legal Business Name | EPM HEALTH SERVICES LLC
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Dates
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Enumeration Date | 08/05/2020
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 3500 W ROGERS AVE
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City | BALTIMORE
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State | MD
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Zip | 21215-4743
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Country | US
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Telephone | 443-564-1778
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Fax |
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Provider Business Mailing Address
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Address Line | 718 COLUMBUS DR
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City | GLEN BURNIE
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State | MD
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Zip | 21061-4990
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE PRCATITIONER
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Name | EDITH CYNTHIA OSEI
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Credential |
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Telephone | 443-564-1778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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