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General NPI Number Information
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NPI Number | 1982112843
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Entity Type | Individual
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Provider Name | JIMMY AKANBI BELLO
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Gender | Male
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Dates
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Enumeration Date | 01/12/2018
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 7836 OAKWOOD RD STE A
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City | GLEN BURNIE
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State | MD
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Zip | 21061-4298
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Country | US
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Telephone | 410-768-6011
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Fax | 410-768-0101
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Provider Business Mailing Address
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Address Line | 12101 GORDON AVE
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City | BELTSVILLE
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State | MD
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Zip | 20705-1173
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Country | US
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Telephone | 301-792-0613
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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 | R137969
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R137969
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License Number State | MD
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