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General NPI Number Information
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NPI Number | 1013616259
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Entity Type | Organization
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Legal Business Name | CS4UU, LLC
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 595 MAIN ST STE 233
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City | LAUREL
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State | MD
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Zip | 20707-4352
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Country | US
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Telephone | 301-203-7626
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Fax |
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Provider Business Mailing Address
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Address Line | 595 MAIN STREET STE 233 PMB 1007
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City | LAUREL
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State | MD
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Zip | 20707
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Country | US
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Telephone | 240-593-8232
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. SHERI SALUGA
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Credential | NP
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Telephone | 240-593-8232
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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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