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General NPI Number Information
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NPI Number | 1417861956
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Entity Type | Organization
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Legal Business Name | HIGH POINT COMMUNITY WELLNESS
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 2255 CRAIN HWY STE 105
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City | WALDORF
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State | MD
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Zip | 20601-3186
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Country | US
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Telephone | 410-565-2683
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Fax |
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Provider Business Mailing Address
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Address Line | 6340 SECURITY BLVD STE B34
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City | GWYNN OAK
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State | MD
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Zip | 21207-5173
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Country | US
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Telephone | 410-565-2683
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. BYRON RANDALL
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Credential |
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Telephone | 410-565-2683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | NULL
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