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General NPI Number Information
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NPI Number | 1588901946
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Entity Type | Individual
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Provider Name | MARY NONGNDEH ZELIO CRNP-PMH
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Gender | Female
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Dates
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Enumeration Date | 01/04/2013
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | 9030 ROUTE 108 STE A
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City | COLUMBIA
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State | MD
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Zip | 21045-1990
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Country | US
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Telephone | 410-740-1901
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Fax | 410-740-8237
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Provider Business Mailing Address
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Address Line | 9814 PHEASANT RUN CT
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City | LAUREL
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State | MD
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Zip | 20708-3192
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Country | US
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Telephone | 240-476-2185
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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 | 204271
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License Number State | MD
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