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General NPI Number Information
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NPI Number | 1679256069
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Entity Type | Organization
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Legal Business Name | CSW BEHAVORIAL HEALTH AND MEDICAL SERVICES
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Dates
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Enumeration Date | 08/10/2023
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 710 VARNUM ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011-7230
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Country | US
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Telephone | 571-277-0841
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Fax |
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Provider Business Mailing Address
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Address Line | 710 VARNUM ST NW
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City | WASHINGTON
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State | DC
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Zip | 20011-7230
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Country | US
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Telephone | 571-277-0841
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Fax |
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Authorized Official
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Title or Position | JOINT OWNER
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Name | STELLA OKEKE
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Credential | BSN, MSN ,NP
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Telephone | 571-277-0841
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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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