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General NPI Number Information
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NPI Number | 1740856657
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Entity Type | Organization
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Legal Business Name | INNOVATIVE MINDSET MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 06/01/2021
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 4 S MCCAIN DR STE 9
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City | FREDERICK
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State | MD
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Zip | 21703-6093
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Country | US
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Telephone | 240-795-1746
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Fax | 410-304-6166
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Provider Business Mailing Address
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Address Line | 4 S MCCAIN DR STE 9
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City | FREDERICK
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State | MD
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Zip | 21703-6093
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Country | US
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Telephone | 240-795-1746
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MS. OLUWATOSIN O AROWOSEGBE
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Credential | CRNP-PMHNP
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Telephone | 240-795-1746
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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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