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General NPI Number Information
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NPI Number | 1386463495
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Entity Type | Organization
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Legal Business Name | ABC COMMUNITY MENTAL HEALTH
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 12126 DARNESTOWN RD STE 6
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City | GAITHERSBURG
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State | MD
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Zip | 20878-2248
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Country | US
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Telephone | 617-372-4802
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Fax |
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Provider Business Mailing Address
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Address Line | 15504 PEACH LEAF LN
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City | NORTH POTOMAC
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State | MD
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Zip | 20878-2343
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Country | US
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Telephone | 617-372-4802
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAYMOND MCLAUGHLIN
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Credential | LCSW-C
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Telephone | 617-372-4802
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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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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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