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General NPI Number Information
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NPI Number | 1255665212
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Entity Type | Organization
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Legal Business Name | NATIONAL BEHAVIORAL HEALTH NETWORK
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Dates
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Enumeration Date | 09/23/2009
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Last Update Date | 09/23/2009
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Provider Practice Location Address
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Address Line | 10005 OLD COLUMBIA RD SUITE N -165 (SIDE ENTRANCE)
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City | COLUMBIA
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State | MD
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Zip | 21046-1702
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Country | US
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Telephone | 410-381-2770
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Fax | 410-381-2774
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Provider Business Mailing Address
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Address Line | 8630 GUILFORD RD SUITE 208
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City | COLUMBIA
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State | MD
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Zip | 21046-2616
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Country | US
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Telephone | 410-381-2770
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Fax | 410-381-2774
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MR. JAMES M JENKINS
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Credential |
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Telephone | 410-381-2770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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