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General NPI Number Information
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NPI Number | 1699691220
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Entity Type | Organization
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Legal Business Name | OXFORD BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 700 K ST NW
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City | WASHINGTON
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State | DC
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Zip | 20001-5690
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Country | US
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Telephone | 202-630-7523
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Fax |
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Provider Business Mailing Address
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Address Line | 145 FLEET ST # 387
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City | OXON HILL
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State | MD
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Zip | 20745-1548
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Country | US
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Telephone | 202-630-7523
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. JERMAINE WYATT
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Credential | LICSW
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Telephone | 202-630-7523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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