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General NPI Number Information
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NPI Number | 1093422701
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Entity Type | Organization
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Legal Business Name | LIKEMINDS BEHAVIORAL LLC
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Dates
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Enumeration Date | 11/02/2022
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 8101 SANDY SPRING RD STE 250
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City | LAUREL
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State | MD
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Zip | 20707-3527
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Country | US
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Telephone | 240-253-1332
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Fax |
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Provider Business Mailing Address
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Address Line | 8101 SANDY SPRING RD STE 250
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City | LAUREL
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State | MD
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Zip | 20707-3527
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Country | US
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Telephone | 240-253-1332
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Fax |
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Authorized Official
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Title or Position | CRNP-PMH
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Name | DR. LINDA FONJU
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Credential | MSN
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Telephone | 240-253-1332
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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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