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General NPI Number Information
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NPI Number | 1508363011
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Entity Type | Organization
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Legal Business Name | CALM CLARITY CORP
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 11410 SOWARD DR
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City | KENSINGTON
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State | MD
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Zip | 20895-1423
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Country | US
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Telephone | 720-238-7917
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Fax | 720-287-3666
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Provider Business Mailing Address
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Address Line | 11410 SOWARD DR
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City | KENSINGTON
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State | MD
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Zip | 20895-1423
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Country | US
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Telephone | 720-238-7917
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Fax | 720-287-3666
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Authorized Official
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Title or Position | PSYCHIATRIC MENTAL HEALTH NP
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Name | MR. SEKOU BALEWA JONES
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Credential | MSN, PMHNP-BC
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Telephone | 303-898-2267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 | APN.0010155
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License Number State | CO
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