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General NPI Number Information
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NPI Number | 1255174793
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Entity Type | Organization
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Legal Business Name | OAKS WELLNESS SERVICES LLC
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Dates
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Enumeration Date | 06/13/2024
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 516 N ROLLING RD STE 305
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City | CATONSVILLE
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State | MD
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Zip | 21228-4142
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Country | US
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Telephone | 410-302-7766
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 66315
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City | BALTIMORE
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State | MD
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Zip | 21239-6315
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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 | NURSE PRACTITIONER
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Name | DR. OLUWAKEMI MARY OYEFUSI
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Credential | PMHNP-BC
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Telephone | 410-302-7766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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