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General NPI Number Information
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NPI Number | 1437849205
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Entity Type | Organization
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Legal Business Name | KEMREM HEALTHCARE LIMITED LIABILITY COMPANY
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | 2333 BALTIMORE BLVD STE A
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City | FINKSBURG
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State | MD
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Zip | 21048-1751
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Country | US
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Telephone | 410-226-4442
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Fax | 443-398-8198
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Provider Business Mailing Address
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Address Line | 909 BALTIMORE BLVD STE 138
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City | WESTMINSTER
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State | MD
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Zip | 21157-7069
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Country | US
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Telephone | 410-226-4442
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Fax | 443-398-8198
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTIANA OLUWAKEMI OLAYERA-AKINBOYE
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Credential | PMHNP
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Telephone | 410-226-4442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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