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General NPI Number Information
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NPI Number | 1992393623
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Entity Type | Organization
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Legal Business Name | BML WELLNESS, LLC
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Dates
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Enumeration Date | 01/07/2021
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | 4918 TAYLOR ST
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City | BLADENSBURG
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State | MD
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Zip | 20710-1233
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Country | US
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Telephone | 202-445-0091
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Fax |
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Provider Business Mailing Address
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Address Line | 4918 TAYLOR ST
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City | BLADENSBURG
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State | MD
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Zip | 20710-1233
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Country | US
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Telephone | 202-445-0091
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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 | MS. BOLANLE AYINDE
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Credential | LCSW
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Telephone | 202-445-0091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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