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General NPI Number Information
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NPI Number | 1073298261
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Entity Type | Organization
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Legal Business Name | CARING HEARTS MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 06/16/2023
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 365 W PATRICK ST
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City | FREDERICK
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State | MD
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Zip | 21701-4854
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Country | US
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Telephone | 240-446-0717
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Fax |
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Provider Business Mailing Address
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Address Line | 365 W PATRICK ST STE 205B
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City | FREDERICK
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State | MD
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Zip | 21701-4854
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Country | US
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Telephone | 240-446-0717
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Fax | 410-202-2107
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Authorized Official
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Title or Position | OWNER
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Name | MARY ANN DAMERON
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Credential | PMHNP-BC
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Telephone | 336-601-1255
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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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