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General NPI Number Information
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NPI Number | 1063925188
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Entity Type | Organization
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Legal Business Name | METRO MENTAL HEALTHCARE, LLC
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Dates
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Enumeration Date | 11/10/2017
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Last Update Date | 02/24/2023
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Provider Practice Location Address
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Address Line | 9500 ANNAPOLIS RD STE A8
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City | LANHAM
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State | MD
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Zip | 20706-2060
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Country | US
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Telephone | 240-582-7866
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Fax | 301-851-5829
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Provider Business Mailing Address
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Address Line | 4404 QUEENSBURY RD STE 210
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City | RIVERDALE PARK
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State | MD
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Zip | 20737-1068
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Country | US
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Telephone | 301-851-5828
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Fax | 301-851-5829
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. IMMACULATA ULU
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Credential | NURSE PRACTITIONER
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Telephone | 301-851-5828
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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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