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General NPI Number Information
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NPI Number | 1366257925
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Entity Type | Organization
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Legal Business Name | MINNETTE HEALTHCARE SERVICES, LLC
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 7375 EXECUTIVE PL STE 100
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City | LANHAM
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State | MD
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Zip | 20706-6234
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Country | US
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Telephone | 240-564-5989
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Fax |
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Provider Business Mailing Address
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Address Line | 12812 WILLOW MARSH LN
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City | BOWIE
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State | MD
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Zip | 20720-4692
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Country | US
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Telephone | 240-564-5989
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | THERESA ANOKAM
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Credential | NP
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Telephone | 240-564-5989
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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