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General NPI Number Information
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NPI Number | 1154005833
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Entity Type | Organization
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Legal Business Name | VALLEY PSYCHIATRY AND WELLNESS CLINIC LLC
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Dates
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Enumeration Date | 06/13/2023
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 600 WYNDHURST AVE STE 100J
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City | BALTIMORE
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State | MD
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Zip | 21210-2489
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Country | US
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Telephone | 410-801-9885
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Fax | 410-779-3799
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Provider Business Mailing Address
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Address Line | 600 WYNDHURST AVE STE 100J
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City | BALTIMORE
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State | MD
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Zip | 21210-2489
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Country | US
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Telephone | 410-801-9885
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Fax | 410-779-3799
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Authorized Official
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Title or Position | OWNER
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Name | MR. MOSES KAROGI
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Credential | CRNP
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Telephone | 410-801-9885
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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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