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General NPI Number Information
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NPI Number | 1225719198
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Entity Type | Organization
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Legal Business Name | BDT CONSULTING, LLC
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Dates
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Enumeration Date | 07/25/2023
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 905 BAYARD ST
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City | BALTIMORE
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State | MD
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Zip | 21223-3515
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Country | US
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Telephone | 410-837-5676
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Fax |
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Provider Business Mailing Address
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Address Line | 1806 E EAGER ST
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City | BALTIMORE
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State | MD
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Zip | 21205-1196
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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 | NURSE PRACTITIONER
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Name | BRANDEN DONELL TAYLOR
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Credential | CRNP
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Telephone | 281-543-6746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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