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General NPI Number Information
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NPI Number | 1326939570
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Entity Type | Organization
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Legal Business Name | MONTGOMERY COUNTY MARYLAND GOVERNMENT
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 1301 PICCARD DR (BH MOBILE UNIT)
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City | ROCKVILLE
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State | MD
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Zip | 20850-4320
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Country | US
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Telephone | 240-777-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 401 HUNGERFORD DR
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City | ROCKVILLE
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State | MD
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Zip | 20850-4154
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Country | US
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Telephone | 240-773-1211
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. JAMEELAH JOHNSON
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Credential | JM-HL, MPH, MBA
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Telephone | 240-773-1211
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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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Taxonomy #2
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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