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General NPI Number Information
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NPI Number | 1568965317
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Entity Type | Organization
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Legal Business Name | PSM HEALTH, LLC.
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Dates
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Enumeration Date | 03/16/2018
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Last Update Date | 03/16/2018
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Provider Practice Location Address
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Address Line | 13970 BALTIMORE AVE # C-9
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City | LAUREL
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State | MD
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Zip | 20707-5086
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Country | US
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Telephone | 240-720-6589
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Fax |
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Provider Business Mailing Address
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Address Line | 14901 RIVER RD
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City | POTOMAC
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State | MD
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Zip | 20854-6029
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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 | ASSISTANT DIRECTOR
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Name | SHEEL PATEL
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Credential |
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Telephone | 240-720-6589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 16-010-A
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License Number State | MD
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