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General NPI Number Information
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NPI Number | 1336442771
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Entity Type | Organization
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Legal Business Name | INTEGRATED BEHAVIORAL HEALTH SOLUTIONS, LLC
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Dates
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Enumeration Date | 12/07/2010
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Last Update Date | 12/07/2010
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Provider Practice Location Address
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Address Line | 1875 BRIGHTSEAT RD
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City | LANDOVER
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State | MD
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Zip | 20785-4250
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Country | US
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Telephone | 301-341-0081
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Fax | 301-341-0087
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Provider Business Mailing Address
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Address Line | 1875 BRIGHTSEAT RD
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City | LANDOVER
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State | MD
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Zip | 20785-4250
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Country | US
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Telephone | 301-341-0081
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Fax | 301-341-0087
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MR. BERNARD AKINSEYE
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Credential |
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Telephone | 301-341-0081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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