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General NPI Number Information
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NPI Number | 1013670025
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Entity Type | Organization
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Legal Business Name | ELLEORHIM MENTAL WELLBEING LLC
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Dates
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Enumeration Date | 10/17/2021
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 6115 STIRLING RD STE 215
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City | DAVIE
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State | FL
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Zip | 33314-7240
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Country | US
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Telephone | 178-622-3174
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Fax | 786-930-4046
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Provider Business Mailing Address
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Address Line | 20523 NW 8TH AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-2381
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Country | US
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Telephone | 786-223-1744
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | MRS. MARIE CARLINE OSEH
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Credential | APRN
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Telephone | 786-223-1744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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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 |
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License Number State |
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