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General NPI Number Information
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NPI Number | 1700528205
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Entity Type | Organization
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Legal Business Name | IHOPE BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 04/13/2022
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 6400 BALTIMORE NATIONAL PIKE STE 170A
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City | CATONSVILLE
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State | MD
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Zip | 21228-3900
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Country | US
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Telephone | 667-352-6642
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Fax |
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Provider Business Mailing Address
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Address Line | 6400 BALTIMORE NATIONAL PIKE STE 17
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City | BALTIMORE
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State | MD
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Zip | 21228-3930
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Country | US
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Telephone | 667-352-6642
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Fax | 410-719-2725
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Authorized Official
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Title or Position | OWNER
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Name | JOY C ODINAMMADU
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Credential | CRNP-PMH
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Telephone | 667-352-6642
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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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