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General NPI Number Information
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NPI Number | 1730989526
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Entity Type | Individual
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Provider Name | JEANNE BALENG OKUWOBI
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Gender | Female
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 7100 GUILFORD DR STE 2012
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City | FREDERICK
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State | MD
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Zip | 21704-5257
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Country | US
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Telephone | 240-788-3536
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Fax | 240-788-3922
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Provider Business Mailing Address
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Address Line | 1209A N EAST ST
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City | FREDERICK
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State | MD
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Zip | 21701-4624
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Country | US
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Telephone | 240-788-3536
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Fax | 240-788-3922
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | R237543
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License Number State | MD
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