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General NPI Number Information
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NPI Number | 1275432411
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Entity Type | Organization
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Legal Business Name | WELLSIDE BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 10382 STONE PINE AVE
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City | WALDORF
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State | MD
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Zip | 20603-5796
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Country | US
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Telephone | 240-847-0183
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Fax | 249-991-4641
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Provider Business Mailing Address
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Address Line | 10382 STONE PINE AVE
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City | WALDORF
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State | MD
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Zip | 20603-5796
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Country | US
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Telephone | 404-490-7031
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Fax |
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Authorized Official
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Title or Position | APRN
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Name | WULAIMOT AKINDELE
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Credential | NP
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Telephone | 240-847-0183
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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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