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General NPI Number Information
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NPI Number | 1710603402
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Entity Type | Organization
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Legal Business Name | NEVER TAKE LIFE FOR GRANTED BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 10/14/2022
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Last Update Date | 10/14/2022
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Provider Practice Location Address
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Address Line | 4707C HARFORD RD
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City | BALTIMORE
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State | MD
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Zip | 21214-3205
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Country | US
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Telephone | 443-580-9346
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Fax |
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Provider Business Mailing Address
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Address Line | 6 HOLSHIRE CT
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-2109
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Country | US
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Telephone | 443-580-9346
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TIFFANY BUNCH
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Credential |
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Telephone | 443-580-9346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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