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General NPI Number Information
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NPI Number | 1245984715
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Entity Type | Organization
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Legal Business Name | BE WELL MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 1900 E NORTHERN PKWY STE T7
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City | BALTIMORE
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State | MD
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Zip | 21239-2120
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Country | US
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Telephone | 443-858-7764
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CHATTERLY CT
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City | PERRY HALL
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State | MD
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Zip | 21128-9114
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Country | US
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Telephone | 443-858-7764
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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 | MRS. NICOLE D HAWKINS
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Credential | PMHNP-BC
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Telephone | 443-858-7764
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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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