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NPI 1659228856

NPI 1659228856 : HEALTHY MIND FOUNDATION NEUROPSYCHOLOGY NEUROPSYCHIATRY SE : LAUREL, MD

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General NPI Number Information
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    NPI Number           |    1659228856
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALTHY MIND FOUNDATION NEUROPSYCHOLOGY NEUROPSYCHIATRY SE 
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Dates
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    Enumeration Date     |    03/16/2026
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    Last Update Date     |    03/16/2026
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Provider Practice Location Address
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    Address Line         |    8101 SANDY SPRING RD 
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    City                 |    LAUREL
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    State                |    MD
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    Zip                  |    20707-3596
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    Country              |    US
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    Telephone            |    443-927-6186
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8101 SANDY SPRING RD 
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    City                 |    LAUREL
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    State                |    MD
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    Zip                  |    20707-3596
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     KENNETH  UWAJEH 
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    Credential           |    
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    Telephone            |    443-927-6186
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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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