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General NPI Number Information
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NPI Number | 1619781564
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Entity Type | Organization
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Legal Business Name | SOUND MIND BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 11155 DOLFIELD BLVD STE 116
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City | OWINGS MILLS
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State | MD
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Zip | 21117-3289
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Country | US
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Telephone | 240-324-8849
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Fax |
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Provider Business Mailing Address
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Address Line | 641 N CHANDLER DR
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City | WESTMINSTER
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State | MD
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Zip | 21157-6977
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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 | CEO
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Name | CHRISTINE KALU
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Credential |
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Telephone | 240-324-8849
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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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