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General NPI Number Information
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NPI Number | 1356139851
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Entity Type | Individual
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Provider Name | YURI FORGUES
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Gender | Male
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 845 QUINCE ORCHARD BLVD STE F
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City | GAITHERSBURG
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State | MD
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Zip | 20878-1676
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Country | US
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Telephone | 301-769-5878
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Fax |
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Provider Business Mailing Address
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Address Line | 18986 HIGHSTREAM DR
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City | GERMANTOWN
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State | MD
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Zip | 20874-6171
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Country | US
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Telephone | 240-482-9653
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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