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General NPI Number Information
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NPI Number | 1245983352
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Entity Type | Organization
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Legal Business Name | EPEC CLINIC LLC
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Dates
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Enumeration Date | 01/28/2022
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 9106 PHILADELPHIA RD STE 106
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City | ROSEDALE
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State | MD
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Zip | 21237-4335
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Country | US
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Telephone | 443-559-8354
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Fax |
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Provider Business Mailing Address
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Address Line | 9106 PHILADELPHIA RD STE 106
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City | ROSEDALE
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State | MD
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Zip | 21237-4335
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Country | US
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Telephone | 443-559-8354
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEKEYA HUTTON
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Credential | CRNP
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Telephone | 443-924-5945
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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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