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General NPI Number Information
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NPI Number | 1295464659
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Entity Type | Organization
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Legal Business Name | TNAT FAMILY CARE
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Dates
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Enumeration Date | 06/09/2022
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Last Update Date | 06/09/2022
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Provider Practice Location Address
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Address Line | 5527 HARFORD RD
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City | BALTIMORE
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State | MD
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Zip | 21214-2233
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Country | US
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Telephone | 443-333-2970
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Fax |
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Provider Business Mailing Address
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Address Line | 5527 HARFORD RD
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City | BALTIMORE
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State | MD
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Zip | 21214-2233
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/SUPERVISOR
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Name | DR. DENNIS WINKLER JR.
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Credential | PHD, LCPC, NCC
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Telephone | 410-777-5020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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