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General NPI Number Information
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NPI Number | 1114532454
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Entity Type | Organization
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Legal Business Name | AMERICAN PSYCHIATRIC CARE LLC
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Dates
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Enumeration Date | 09/14/2020
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Last Update Date | 09/14/2020
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Provider Practice Location Address
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Address Line | 11886 HEALING WAY STE 504
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City | SILVER SPRING
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State | MD
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Zip | 20904-7917
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Country | US
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Telephone | 410-670-3076
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Fax | 443-372-5365
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Provider Business Mailing Address
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Address Line | 2014 S TOLLGATE RD STE 208
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City | BEL AIR
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State | MD
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Zip | 21015-5904
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Country | US
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Telephone | 410-670-3076
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAVIKUMAR BHALAVAT
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Credential | M.D.
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Telephone | 410-670-3076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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