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General NPI Number Information
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NPI Number | 1043926702
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Entity Type | Organization
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Legal Business Name | ACE BEHAVIORAL AND MENTAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 01/26/2023
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Last Update Date | 04/02/2024
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Provider Practice Location Address
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Address Line | 11720 BELTSVILLE DR STE 500
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City | BELTSVILLE
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State | MD
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Zip | 20705-3139
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Country | US
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Telephone | 240-421-1251
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Fax |
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Provider Business Mailing Address
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Address Line | 8508 OKEEFE DR
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City | SEVERN
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State | MD
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Zip | 21144-3136
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Country | US
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Telephone | 240-421-1251
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EPHRAIM A MAKINDE
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Credential |
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Telephone | 240-421-1251
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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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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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