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General NPI Number Information
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NPI Number | 1245959840
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Entity Type | Organization
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Legal Business Name | ONPOINT MENTAL HEALTH TELE AND WELLNESS SERVICES LLC
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Dates
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Enumeration Date | 08/25/2022
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 9712 BALD HILL RD
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City | BOWIE
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State | MD
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Zip | 20721-2875
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Country | US
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Telephone | 240-273-2054
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Fax |
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Provider Business Mailing Address
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Address Line | 9712 BALD HILL RD
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City | BOWIE
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State | MD
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Zip | 20721-2875
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | GLORY NGUM FORBI
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Credential | NP
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Telephone | 240-273-2054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | 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 | 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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