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General NPI Number Information
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NPI Number | 1225210123
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Entity Type | Organization
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Legal Business Name | F H L MOBILE TREATMENT SERVICES LLC
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 08/02/2008
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Provider Practice Location Address
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Address Line | 1081 LILLYGATE LN
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City | BEL AIR
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State | MD
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Zip | 21014-2705
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Country | US
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Telephone | 410-836-7225
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Fax | 410-836-7221
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Provider Business Mailing Address
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Address Line | 1081 LILLYGATE LN
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City | BEL AIR
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State | MD
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Zip | 21014-2705
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Country | US
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Telephone | 410-836-7225
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Fax | 410-836-7221
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Authorized Official
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Title or Position | CEO/MEDICAL DIRECTOR
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Name | DR. CARLES WESNER SICARD
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Credential | M.D.
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Telephone | 410-322-4575
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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 | D0060217
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License Number State | MD
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