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General NPI Number Information
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NPI Number | 1598451395
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Entity Type | Organization
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Legal Business Name | NEW LIFE SOLUTIONS INTEGRATED CARE LLC
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Dates
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Enumeration Date | 04/13/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 12910 LEDO CREEK TER
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City | BELTSVILLE
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State | MD
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Zip | 20705-5108
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Country | US
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Telephone | 202-241-0060
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Fax | 202-241-0036
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Provider Business Mailing Address
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Address Line | 8327 TERRA GRANDE AVE
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City | SPRINGFIELD
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State | VA
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Zip | 22153-3516
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Country | US
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Telephone | 703-200-3288
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMILY NYANGE FLOODE
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Credential | NP
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Telephone | 703-200-3288
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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