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General NPI Number Information
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NPI Number | 1285487967
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Entity Type | Organization
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Legal Business Name | JDMF PSYCHIATRIC SERVICES LLC
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Dates
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Enumeration Date | 04/10/2024
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Last Update Date | 04/10/2024
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Provider Practice Location Address
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Address Line | 813 UNITED CT
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City | ABERDEEN
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State | MD
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Zip | 21001-1291
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Country | US
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Telephone | 667-270-7214
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Fax | 667-770-6785
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Provider Business Mailing Address
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Address Line | 813 UNITED CT
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City | ABERDEEN
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State | MD
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Zip | 21001-1291
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Country | US
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Telephone | 667-270-7214
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Fax | 667-770-6785
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Authorized Official
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Title or Position | PROVIDER
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Name | EVELYN-LYDIA GYAMFI
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Credential |
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Telephone | 667-270-7214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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