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General NPI Number Information
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NPI Number | 1497613889
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Entity Type | Organization
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Legal Business Name | BESQUEENS LLC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 1408 FORT CROOK RD S # 300
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City | BELLEVUE
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State | NE
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Zip | 68005-3061
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Country | US
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Telephone | 202-367-3927
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Fax |
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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 | 202-658-6844
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. MIRANDA MBUTAMBE
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Credential | DNP
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Telephone | 202-367-3927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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