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General NPI Number Information
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NPI Number | 1609677327
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Entity Type | Organization
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Legal Business Name | NAMS BEHAVIORAL HEALTHCARE LLC
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 2703 FORT BAKER DR SE APT 1
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City | WASHINGTON
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State | DC
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Zip | 20020-7274
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Country | US
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Telephone | 240-244-4863
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Fax | 443-513-2664
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Provider Business Mailing Address
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Address Line | 101 ARBORETUM WAY
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City | BURLINGTON
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State | MA
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Zip | 01803-3827
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Country | US
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Telephone | 240-244-4863
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Fax | 443-513-2664
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Authorized Official
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Title or Position | CEO
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Name | ELIVE STANLY
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Credential |
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Telephone | 240-244-4863
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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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