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General NPI Number Information
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NPI Number | 1144941766
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Entity Type | Organization
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Legal Business Name | ZENITH PSYCHIATRIC & MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 12804 GREENES PROMISE CT
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City | BOWIE
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State | MD
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Zip | 20720-5613
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Country | US
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Telephone | 301-346-2201
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Fax | 301-350-4676
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Provider Business Mailing Address
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Address Line | 12804 GREENES PROMISE CT
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City | BOWIE
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State | MD
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Zip | 20720-5613
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Country | US
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Telephone | 301-346-2201
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Fax |
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Authorized Official
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Title or Position | MSN, CRNP-PMHNP-BC
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Name | OLUKEMI R OMOGOKE
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Credential |
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Telephone | 301-346-2201
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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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