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General NPI Number Information
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NPI Number | 1134815343
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Entity Type | Organization
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Legal Business Name | MARYLAND PSYCHIATRIC CARE, LLC
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Dates
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Enumeration Date | 04/12/2023
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 4470 SOUTHERN BUSINESS PARK DR
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City | WHITE PLAINS
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State | MD
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Zip | 20695-2840
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Country | US
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Telephone | 301-979-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 4470 SOUTHERN BUSINESS PARK DR
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City | WHITE PLAINS
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State | MD
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Zip | 20695-2840
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MARSHALL JAMES
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Credential |
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Telephone | 866-437-6203
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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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