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General NPI Number Information
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NPI Number | 1568372662
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Entity Type | Organization
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Legal Business Name | INNOVATIVE MIND BEHAVIORAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 4 S MCCAIN DR STE 9
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City | FREDERICK
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State | MD
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Zip | 21703-6093
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Country | US
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Telephone | 240-795-1746
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Fax |
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Provider Business Mailing Address
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Address Line | 4 S MCCAIN DR STE 9
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City | FREDERICK
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State | MD
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Zip | 21703-6093
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Country | US
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Telephone | 240-795-1746
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | OLUWATOSIN AROWOSEGBE
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Credential |
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Telephone | 240-795-1746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SC1501X
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Taxonomy Name | Community Health/Public Health Clinical Nurse Specialist
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License Number |
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License Number State |
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