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General NPI Number Information
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NPI Number | 1467305854
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Entity Type | Organization
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Legal Business Name | JA HEALTHCARE SERVICES, LLC
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 113 WEST RD STE 202A202B
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City | TOWSON
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State | MD
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Zip | 21204-2300
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Country | US
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Telephone | 410-337-3697
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Fax | 410-321-0580
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Provider Business Mailing Address
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Address Line | 113 WEST RD STE 202A202B
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City | TOWSON
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State | MD
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Zip | 21204-2300
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Country | US
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Telephone | 410-337-3697
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Fax | 410-321-0580
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Authorized Official
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Title or Position | CEO
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Name | JACOB ANJUM
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Credential | MPH
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Telephone | 443-905-7630
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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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