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General NPI Number Information
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NPI Number | 1780444216
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Entity Type | Organization
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Legal Business Name | RASS PSYCHIATRY AND WELLNESS SERVICES
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Dates
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Enumeration Date | 03/21/2024
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Last Update Date | 04/06/2024
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Provider Practice Location Address
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Address Line | 7130 MINSTREL WAY STE 120B
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City | COLUMBIA
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State | MD
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Zip | 21045-5329
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Country | US
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Telephone | 443-862-8249
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Fax |
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Provider Business Mailing Address
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Address Line | 1121 ANNAPOLIS RD STE 106
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City | ODENTON
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State | MD
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Zip | 21113-1633
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Country | US
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Telephone | 443-862-8249
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SELAM TEKIE
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Credential | PMHNP
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Telephone | 443-862-8249
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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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