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General NPI Number Information
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NPI Number | 1740096270
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Entity Type | Individual
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Provider Name | HABSATU AMINATA KABIA PMHNP
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Gender | Female
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 10303 BALD HILL RD
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City | BOWIE
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State | MD
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Zip | 20721-2839
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Country | US
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Telephone | 240-704-3940
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Fax | 240-387-6946
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Provider Business Mailing Address
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Address Line | 10303 BALD HILL RD
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City | BOWIE
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State | MD
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Zip | 20721-2839
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Country | US
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Telephone | 240-704-3940
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Fax | 240-387-6946
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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 | NP1049080
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2024072992
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License Number State | MD
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