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General NPI Number Information
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NPI Number | 1528883311
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Entity Type | Organization
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Legal Business Name | JAMES PERRITT PSYCHIATRIC NP LLC
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 1404 S MAIN CHAPEL WAY STE 104
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City | GAMBRILLS
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State | MD
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Zip | 21054-1860
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Country | US
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Telephone | 410-402-3043
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Fax |
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Provider Business Mailing Address
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Address Line | 401 GREEN GROVE CT
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City | MILLERSVILLE
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State | MD
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Zip | 21108-1469
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | JAMES PERRITT
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Credential | PMHNP-BC
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Telephone | 410-402-3043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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