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General NPI Number Information
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NPI Number | 1629740410
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Entity Type | Organization
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Legal Business Name | UPLIFT BEHAVIORAL HEALTH PC
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Dates
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Enumeration Date | 09/30/2021
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 4800 HAMPDEN LN STE 200B
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City | BETHESDA
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State | MD
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Zip | 20814-2930
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Country | US
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Telephone | 202-932-7607
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 52473
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City | PHOENIX
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State | AZ
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Zip | 85072-2473
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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 | COO
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Name | CLARE FRANCES BOALS FRYE
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Credential |
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Telephone | 616-648-1196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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