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General NPI Number Information
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NPI Number | 1548726607
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Entity Type | Individual
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Provider Name | BERLINDA A RETLAND PMHNP
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Gender | Female
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Dates
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Enumeration Date | 02/13/2019
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 2905 MITCHELLVILLE RD STE 204
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City | BOWIE
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State | MD
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Zip | 20716-3961
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Country | US
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Telephone | 301-701-6965
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Fax |
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Provider Business Mailing Address
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Address Line | 9520 BERGER RD STE 212
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City | COLUMBIA
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State | MD
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Zip | 21046-1543
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Country | US
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Telephone | 609-731-4997
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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 | R211012
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License Number State | MD
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