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General NPI Number Information
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NPI Number | 1689512105
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Entity Type | Organization
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Legal Business Name | PENUEL BEHAVIORAL HEALTH SERVICES LLC.
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 9708 MONROE ST STE 201
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City | COCKEYSVILLE
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State | MD
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Zip | 21030-5081
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Country | US
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Telephone | 301-795-9450
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Fax |
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Provider Business Mailing Address
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Address Line | 9708 MONROE ST STE 201
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City | COCKEYSVILLE
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State | MD
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Zip | 21030-5081
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Country | US
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Telephone | 301-795-9450
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OLABIMPE OLOJO
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Credential |
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Telephone | 301-635-1240
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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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