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General NPI Number Information
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NPI Number | 1609570845
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Entity Type | Organization
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Legal Business Name | AMAYAS BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 03/30/2023
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 3070 CRAIN HWY STE 101
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City | WALDORF
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State | MD
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Zip | 20601-2831
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Country | US
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Telephone | 240-416-3733
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Fax |
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Provider Business Mailing Address
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Address Line | 11683 HENLEY CT
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City | WALDORF
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State | MD
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Zip | 20602-4100
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Country | US
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Telephone | 703-220-9564
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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 | GABRIELA AMAYA
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Credential | PMHNP
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Telephone | 703-220-9564
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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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