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General NPI Number Information
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NPI Number | 1407664717
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Entity Type | Organization
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Legal Business Name | TRUE RADIANCE PSYCHIATRY
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Dates
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Enumeration Date | 12/19/2024
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 8115 MAPLE LAWN BLVD STE 350, OFFICE 355
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City | FULTON
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State | MD
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Zip | 20759-2683
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Country | US
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Telephone | 301-923-1484
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Fax |
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Provider Business Mailing Address
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Address Line | 5457 TWIN KNOLLS RD STE 300
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City | COLUMBIA
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State | MD
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Zip | 21045-3296
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Country | US
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Telephone | 240-898-2936
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DASYLIA WILLOUGHBY
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Credential | DO
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Telephone | 240-898-2936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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