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General NPI Number Information
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NPI Number | 1023880507
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Entity Type | Organization
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Legal Business Name | PEOPLE ENCOURAGING & ENHANCING LIVES, LLC
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Dates
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Enumeration Date | 10/26/2023
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 280 E MAIN ST STE 100
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City | WESTMINSTER
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State | MD
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Zip | 21157-5509
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Country | US
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Telephone | 410-751-3857
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Fax |
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Provider Business Mailing Address
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Address Line | 280 E MAIN ST STE 100
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City | WESTMINSTER
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State | MD
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Zip | 21157-5509
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Country | US
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Telephone | 410-751-3857
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SHAWNISHA LUCAS
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Credential |
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Telephone | 443-814-5030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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