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General NPI Number Information
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NPI Number | 1972140069
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Entity Type | Organization
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Legal Business Name | HIGHTOWER BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 12/08/2019
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 420 CRAIN HWY S STE 3
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City | GLEN BURNIE
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State | MD
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Zip | 21061-3657
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Country | US
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Telephone | 410-595-6199
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Fax | 410-684-5334
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Provider Business Mailing Address
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Address Line | 4505 BLACKBIRDS FOLLY LN
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City | BOWIE
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State | MD
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Zip | 20720-5803
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Country | US
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Telephone | 240-602-7035
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARY OGUNLOWO-OMOBHUDE
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Credential |
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Telephone | 240-602-7035
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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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