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General NPI Number Information
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NPI Number | 1548906027
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Entity Type | Individual
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Provider Name | MWIKALI MELISSA MUTIA-LAMIN
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Gender | Female
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Dates
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Enumeration Date | 05/09/2022
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 2600 BRYAN PL SE
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City | WASHINGTON
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State | DC
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Zip | 20020-4417
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Country | US
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Telephone | 202-894-6811
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Fax |
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Provider Business Mailing Address
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Address Line | 1315 NALLEY TER
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City | LANDOVER
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State | MD
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Zip | 20785-4400
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Country | US
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Telephone | 240-854-8066
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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 | NP1052407
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License Number State | DC
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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 | R230782
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License Number State | MD
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