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General NPI Number Information
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NPI Number | 1710841564
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Entity Type | Organization
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Legal Business Name | VISIONARY MEDICAL & MENTAL HEALTHCARE, INC.
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 5301 PATTINGHAM CT
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City | UPPER MARLBORO
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State | MD
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Zip | 20772-2990
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Country | US
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Telephone | 301-404-0355
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Fax |
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Provider Business Mailing Address
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Address Line | 5301 PATTINGHAM CT
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City | UPPER MARLBORO
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State | MD
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Zip | 20772-2990
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Country | US
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Telephone | 301-404-0355
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | IFEOMA ONYEIWU
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Credential |
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Telephone | 301-404-0355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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