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General NPI Number Information
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NPI Number | 1104737220
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Entity Type | Organization
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Legal Business Name | MENTALCHEX LLC
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 13303 ARCTIC AVE
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City | ROCKVILLE
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State | MD
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Zip | 20853-3013
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Country | US
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Telephone | 202-486-4582
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Fax |
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Provider Business Mailing Address
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Address Line | 13303 ARCTIC AVE
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City | ROCKVILLE
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State | MD
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Zip | 20853-3013
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Country | US
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Telephone | 202-486-4582
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Fax |
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Authorized Official
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Title or Position | CERTIFIED COMMUNITY HEALTH WORKER
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Name | MR. RODRIGUE TEBECK
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Credential | CCHW
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Telephone | 240-602-4029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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