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General NPI Number Information
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NPI Number | 1669676565
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Entity Type | Organization
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Legal Business Name | TATEIOMS, LLC
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 14502 GREENVIEW DR STE 340
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City | LAUREL
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State | MD
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Zip | 20708-4227
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Country | US
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Telephone | 301-362-0090
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Fax | 301-362-0092
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Provider Business Mailing Address
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Address Line | 14502 GREENVIEW DR STE 340
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City | LAUREL
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State | MD
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Zip | 20708-4227
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Country | US
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Telephone | 301-362-0090
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Fax | 301-362-0092
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MS. REGINA MARLENE SHARBER
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Credential | MA
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Telephone | 301-362-0090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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