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General NPI Number Information
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NPI Number | 1366866378
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Entity Type | Organization
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Legal Business Name | TETHYS HEALTH VENTURES LLC
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Dates
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Enumeration Date | 02/11/2014
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 20 E TIMONIUM RD STE 201
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City | LUTHERVILLE TIMONIUM
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State | MD
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Zip | 21093-3456
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Country | US
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Telephone | 410-771-0692
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Fax | 410-771-0696
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Provider Business Mailing Address
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Address Line | 20 E TIMONIUM RD STE 201
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City | LUTHERVILLE TIMONIUM
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State | MD
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Zip | 21093-3456
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Country | US
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Telephone | 410-771-0692
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Fax | 410-771-0696
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Authorized Official
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Title or Position | SENIOR VP OF IT
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Name | MS. SUZANNE KOCH
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Credential |
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Telephone | 410-771-0692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | R120718
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License Number State | MD
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