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General NPI Number Information
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NPI Number | 1205754918
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Entity Type | Organization
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Legal Business Name | BRIGHT HORIZONS PSYCHIATRY LLC
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Dates
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Enumeration Date | 07/09/2026
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Last Update Date | 07/09/2026
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Provider Practice Location Address
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Address Line | 7360 GUILFORD DR STE 100
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City | FREDERICK
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State | MD
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Zip | 21704-5128
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Country | US
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Telephone | 240-599-1001
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Fax | 240-599-1002
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Provider Business Mailing Address
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Address Line | 6000 EXECUTIVE BLVD STE 101
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City | NORTH BETHESDA
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State | MD
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Zip | 20852-3816
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Country | US
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Telephone | 240-599-1001
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Fax | 240-599-1002
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Authorized Official
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Title or Position | OWNER
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Name | AMIR ETESAM
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Credential | MD
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Telephone | 240-599-1001
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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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