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General NPI Number Information
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NPI Number | 1154101921
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Entity Type | Organization
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Legal Business Name | GLADWELL LLC
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Dates
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Enumeration Date | 09/29/2023
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 1015 DEBBIE AVE
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City | BALTIMORE
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State | MD
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Zip | 21221-3339
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Country | US
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Telephone | 253-509-4433
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Fax |
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Provider Business Mailing Address
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Address Line | 1015 DEBBIE AVE
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City | BALTIMORE
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State | MD
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Zip | 21221-3339
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Country | US
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Telephone | 253-508-8538
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CATHERINE WANJIRU DONNERSTAG
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Credential |
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Telephone | 443-600-8467
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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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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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