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General NPI Number Information
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NPI Number | 1609672369
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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 | 02/24/2025
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Last Update Date | 02/24/2025
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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 | 410-705-6070
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Provider Business Mailing 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 | 410-705-6070
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Authorized Official
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Title or Position | CEO
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Name | 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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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