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General NPI Number Information
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NPI Number | 1831823574
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Entity Type | Organization
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Legal Business Name | MORELIFE SOLUTIONS MENTAL HEALTH LLC
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Dates
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Enumeration Date | 07/09/2022
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Last Update Date | 10/02/2022
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Provider Practice Location Address
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Address Line | 5335 REISTERSTOWN RD
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City | BALTIMORE
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State | MD
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Zip | 21215-4401
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Country | US
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Telephone | 667-201-3790
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Fax |
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Provider Business Mailing Address
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Address Line | 626 OTTER CREEK RD
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City | EDGEWOOD
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State | MD
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Zip | 21040-3604
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Country | US
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Telephone | 667-201-3790
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MINA CADE
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Credential | CRNP
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Telephone | 410-615-3385
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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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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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