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General NPI Number Information
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NPI Number | 1912607409
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Entity Type | Individual
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Provider Name | ABIMBOLA IDOWU OSSAI PMHNP, DNP
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Gender | Female
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 1401 S EDGEWOOD ST STE 100
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City | HALETHORPE
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State | MD
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Zip | 21227-1145
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Country | US
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Telephone | 410-275-0928
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2531
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City | ELLICOTT CITY
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State | MD
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Zip | 21041-2531
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Country | US
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Telephone | 410-275-0928
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | R212442
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License Number State | MD
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