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General NPI Number Information
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NPI Number | 1437021326
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Entity Type | Organization
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Legal Business Name | MUSE INTEGRATIVE CARE LLC
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 540 RIVERSIDE DR STE 16
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City | SALISBURY
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State | MD
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Zip | 21801-5352
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Country | US
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Telephone | 302-232-5739
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Fax |
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Provider Business Mailing Address
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Address Line | 540 RIVERSIDE DR STE 16
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City | SALISBURY
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State | MD
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Zip | 21801-5352
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Country | US
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Telephone | 302-232-5739
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MOTUNRAYO ETTEYIT
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Credential | DNP, PMHNP-BC, FNP-C
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Telephone | 202-415-6531
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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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