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General NPI Number Information
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NPI Number | 1861229163
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Entity Type | Organization
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Legal Business Name | KESU MENTAL HEALTH LLC
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Dates
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Enumeration Date | 09/19/2024
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 4709 HARFORD RD
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City | BALTIMORE
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State | MD
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Zip | 21214-3205
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Country | US
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Telephone | 410-805-7816
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Fax |
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Provider Business Mailing Address
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Address Line | 4709 HARFORD RD
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City | BALTIMORE
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State | MD
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Zip | 21214-3205
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DYMPNA NDELLE
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Credential | NP
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Telephone | 410-805-7816
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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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