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General NPI Number Information
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NPI Number | 1538922075
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Entity Type | Organization
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Legal Business Name | NEWPSYCH LC
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Dates
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Enumeration Date | 02/06/2024
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 6470 DOBBIN RD STE C
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City | COLUMBIA
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State | MD
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Zip | 21045-4767
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Country | US
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Telephone | 855-202-0401
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Fax |
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Provider Business Mailing Address
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Address Line | 1752 MACO DR
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City | HANOVER
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State | MD
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Zip | 21076-1399
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Country | US
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Telephone | 240-353-2259
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MR. MOTUN OLUKOYA
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Credential |
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Telephone | 240-353-2259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 |
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License Number State |
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