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NPI 1679417794

NPI 1679417794 : GENTLE CARE MENTAL HEALTH SERVICES LLC : WALDORF, MD

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General NPI Number Information
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    NPI Number           |    1679417794
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    Entity Type          |    Organization 
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    Legal Business Name  |    GENTLE CARE MENTAL HEALTH SERVICES LLC 
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Dates
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    Enumeration Date     |    04/17/2026
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    Last Update Date     |    04/17/2026
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Provider Practice Location Address
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    Address Line         |    2007 DOWNSHIRE CT 
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    City                 |    WALDORF
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    State                |    MD
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    Zip                  |    20603-3886
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    Country              |    US
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    Telephone            |    732-642-1029
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2007 DOWNSHIRE CT 
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    City                 |    WALDORF
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    State                |    MD
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    Zip                  |    20603-3886
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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    |    OWNER
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    Name                 |     NMA  NABIE 
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    Credential           |    
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    Telephone            |    732-642-1029
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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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