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General NPI Number Information
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NPI Number | 1376801118
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Entity Type | Individual
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Provider Name | MIRANDA BESSEM MBUTAMBE CRNP PMHNP DNP
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Gender | Female
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Dates
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Enumeration Date | 04/30/2012
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 7700 OLD BRANCH AVE STE B201
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City | CLINTON
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State | MD
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Zip | 20735-1605
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Country | US
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Telephone | 301-289-7722
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Fax | 301-441-2518
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Provider Business Mailing Address
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Address Line | 7700 OLD BRANCH AVE STE B201
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City | CLINTON
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State | MD
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Zip | 20735-1605
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Country | US
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Telephone | 202-367-3927
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | R233930
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License Number State | MD
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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 | NP1035293
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | NP1035293
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R233930
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License Number State | MD
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