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General NPI Number Information
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NPI Number | 1447529300
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Entity Type | Organization
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Legal Business Name | ADVENTIST BEHOVIORAL HEALTH
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Dates
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Enumeration Date | 12/22/2011
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 1401 BROSCHERT ROAD
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City | ROCKVILLE
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State | MD
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Zip | 20850
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Country | US
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Telephone | 301-251-4500
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Fax | 301-251-4598
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Provider Business Mailing Address
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Address Line | 1401 BROSCHERT ROAD
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City | ROCKVILLE
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State | MD
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Zip | 20850
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Country | US
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Telephone | 301-251-4500
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Fax | 301-251-4598
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Authorized Official
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Title or Position | CRNP
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Name | ROSALEE PEARL TOWNSEND
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Credential | NURSE PRACTITIONER
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Telephone | 240-423-7923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R108984
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License Number State | MD
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