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General NPI Number Information
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NPI Number | 1144044892
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Entity Type | Organization
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Legal Business Name | CONNECT INTEGRATED HEALTH SERVICES LLC.
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 5000 SUNNYSIDE AVE STE 105
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City | BELTSVILLE
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State | MD
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Zip | 20705-2327
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Country | US
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Telephone | 240-713-7479
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Fax | 240-483-4905
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Provider Business Mailing Address
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Address Line | 5000 SUNNYSIDE AVE STE 105
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City | BELTSVILLE
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State | MD
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Zip | 20705-2327
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Country | US
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Telephone | 240-713-7479
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Fax | 240-483-4905
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Authorized Official
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Title or Position | OWNER/PMHNP
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Name | DR. CORNELIA ELAD
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Credential |
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Telephone | 240-713-7479
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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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