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General NPI Number Information
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NPI Number | 1740138445
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Entity Type | Organization
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Legal Business Name | SHARONITE BEHAVIORAL HEALTH SERVICES AND WELLNESS, LLC
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 9808 BON HAVEN LN
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City | OWINGS MILLS
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State | MD
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Zip | 21117-7406
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Country | US
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Telephone | 443-675-8382
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Fax | 951-305-8716
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Provider Business Mailing Address
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Address Line | 9808 BON HAVEN LN
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City | OWINGS MILLS
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State | MD
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Zip | 21117-7406
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Country | US
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Telephone | 443-675-8382
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Fax | 951-305-8716
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Authorized Official
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Title or Position | CEO/NURSE PRACTITIONER
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Name | DR. OLUSEYI SHARON AGBAJE
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Credential | CRNP-PMH
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Telephone | 443-675-8382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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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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