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General NPI Number Information
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NPI Number | 1962374934
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Entity Type | Organization
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Legal Business Name | RONEST MINDSPRING PSYCHIATRY AND WELLNESS CLINIC LLC
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 100 CATHEDRAL ST
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City | ANNAPOLIS
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State | MD
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Zip | 21401-2702
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Country | US
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Telephone | 240-898-6226
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Fax |
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Provider Business Mailing Address
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Address Line | 15617 NORUS ST UPPR
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City | UPPER MARLBORO
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State | MD
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Zip | 20772-8254
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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 | EDUKE ROLINE MELLE
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Credential |
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Telephone | 240-898-6226
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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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