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General NPI Number Information
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NPI Number | 1598645483
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Entity Type | Organization
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Legal Business Name | CAMELOT HEALTH SERVICES
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 10770 COLUMBIA PIKE STE 300
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City | SILVER SPRING
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State | MD
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Zip | 20901-4439
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Country | US
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Telephone | 240-476-8529
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Fax |
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Provider Business Mailing Address
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Address Line | 2438 HENSLOWE DR
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City | POTOMAC
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State | MD
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Zip | 20854-6178
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Country | US
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Telephone | 240-476-8529
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADELE TZEUTON
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Credential |
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Telephone | 240-476-8529
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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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