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General NPI Number Information
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NPI Number | 1891437182
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Entity Type | Organization
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Legal Business Name | VWK MENTAL HEALTH MANAGEMENT INC
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Dates
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Enumeration Date | 04/08/2022
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 400 W FRANKLIN ST STE 200
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City | BALTIMORE
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State | MD
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Zip | 21201-2142
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Country | US
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Telephone | 443-717-1729
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Fax |
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Provider Business Mailing Address
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Address Line | 5122 WINDERMERE CIR
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City | ROSEDALE
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State | MD
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Zip | 21237-4920
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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/CEO
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Name | VIVIAN KAMAU
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Credential | CRNP-PMH
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Telephone | 443-717-1729
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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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