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General NPI Number Information
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NPI Number | 1619716248
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Entity Type | Organization
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Legal Business Name | AIMWELL MENTAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 516 N ROLLING RD STE 305
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City | CATONSVILLE
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State | MD
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Zip | 21228-4142
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Country | US
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Telephone | 240-535-9943
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Fax |
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Provider Business Mailing Address
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Address Line | 2210 ARCTIC FOX DR
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City | BOWIE
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State | MD
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Zip | 20721-2611
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Country | US
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Telephone | 240-535-9943
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDA C AHAGHOTU
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Credential |
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Telephone | 240-535-9943
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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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