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General NPI Number Information
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NPI Number | 1285541136
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Entity Type | Organization
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Legal Business Name | DIRECT BEHAVIORAL HEALTH CARE SERVICES
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 1000 MARSHANE RD
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City | REISTERSTOWN
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State | MD
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Zip | 21136-5860
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Country | US
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Telephone | 301-785-3633
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Fax | 631-517-1222
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Provider Business Mailing Address
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Address Line | 1000 MARSHANE RD
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City | REISTERSTOWN
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State | MD
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Zip | 21136-5860
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Country | US
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Telephone | 301-785-3633
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Fax | 631-517-1222
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JULIET NUMFOR
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Credential |
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Telephone | 301-785-3633
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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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