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General NPI Number Information
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NPI Number | 1679195671
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Entity Type | Organization
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Legal Business Name | BETTER PATH MENTAL HEALTH CENTER LLC
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Dates
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Enumeration Date | 05/12/2020
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 616 OLD EDMONDSON AVE STE 3
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City | CATONSVILLE
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State | MD
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Zip | 21228-3312
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Country | US
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Telephone | 410-788-3800
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Fax | 443-498-9649
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Provider Business Mailing Address
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Address Line | 616 OLD EDMONDSON AVE STE 3
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City | CATONSVILLE
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State | MD
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Zip | 21228-3312
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Country | US
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Telephone | 410-788-3800
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KENNETH H MITCHELL
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Credential |
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Telephone | 410-788-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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