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General NPI Number Information
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NPI Number | 1861082752
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Entity Type | Organization
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Legal Business Name | SOUND WELLNESS CENTER
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 8890 MCDONOGH RD STE 208
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5397
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Country | US
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Telephone | 410-559-6121
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Fax |
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Provider Business Mailing Address
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Address Line | 10999 RED RUN BLVD STE 205
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City | OWINGS MILLS
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State | MD
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Zip | 21117-3249
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Country | US
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Telephone | 443-379-4596
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Fax | 443-558-7005
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Authorized Official
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Title or Position | PRESIDENT
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Name | LINDA H ALLIBALOGUN
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Credential | DNP, CRNP-PMH-BC
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Telephone | 410-559-6121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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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 | 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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