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General NPI Number Information
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NPI Number | 1649000225
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Entity Type | Organization
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Legal Business Name | LAMPLIGHT PSYCHIATRY LLC
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Dates
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Enumeration Date | 08/07/2024
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 2014 ORLEANS ST
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City | BALTIMORE
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State | MD
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Zip | 21231-1114
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Country | US
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Telephone | 443-205-1837
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Fax | 256-693-2152
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Provider Business Mailing Address
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Address Line | 2014 ORLEANS ST
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City | BALTIMORE
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State | MD
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Zip | 21231-1114
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Country | US
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Telephone | 443-205-1837
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Fax | 256-693-2152
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | RUTH ATTA
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Credential |
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Telephone | 667-622-0201
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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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