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General NPI Number Information
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NPI Number | 1275677080
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Entity Type | Organization
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Legal Business Name | JUNCTION, INC.
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 98 N COURT ST
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City | WESTMINSTER
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State | MD
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Zip | 21157-9300
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Country | US
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Telephone | 410-848-6100
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Fax | 410-876-5187
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Provider Business Mailing Address
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Address Line | 98 N COURT ST P.O. BOX 206
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City | WESTMINSTER
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State | MD
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Zip | 21158
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Country | US
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Telephone | 410-848-6100
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Fax | 410-876-5187
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | OLIVIA MYERS
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Credential | LCSW
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Telephone | 410-848-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 15591
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License Number State | MD
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