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General NPI Number Information
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NPI Number | 1548985419
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Entity Type | Organization
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Legal Business Name | VANTAGE POINT BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 10/04/2022
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 985 MORGAN RUN RD
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City | BALTIMORE
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State | MD
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Zip | 21220-2163
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Country | US
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Telephone | 703-420-9554
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Fax |
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Provider Business Mailing Address
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Address Line | 985 MORGAN RUN RD
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City | BALTIMORE
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State | MD
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Zip | 21220-2163
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Country | US
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Telephone | 202-718-5754
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FISAYO AWOJOODU
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Credential |
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Telephone | 202-718-5754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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