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General NPI Number Information
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NPI Number | 1043778160
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Entity Type | Organization
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Legal Business Name | A PLATFORM TO HEALTHCARE
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Dates
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Enumeration Date | 03/07/2019
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 5209 YORK RD
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City | BALTIMORE
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State | MD
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Zip | 21212-4225
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Country | US
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Telephone | 410-417-5297
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Fax | 410-510-1375
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Provider Business Mailing Address
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Address Line | 325 AHERN DR
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City | EDGEWOOD
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State | MD
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Zip | 21040-3410
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Country | US
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Telephone | 410-417-5297
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Fax | 410-510-1375
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Authorized Official
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Title or Position | OWNER/ OPERATOR
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Name | MRS. JOSIE DANTZLER
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Credential | PMHNP-BC
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Telephone | 410-417-5297
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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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