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General NPI Number Information
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NPI Number | 1710748819
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Entity Type | Organization
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Legal Business Name | PLANTING SEEDS BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 01/17/2024
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 412 ARBOR PL
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City | EASTON
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State | MD
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Zip | 21601-3207
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Country | US
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Telephone | 410-714-3305
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Fax | 443-221-4845
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Provider Business Mailing Address
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Address Line | 412 ARBOR PL
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City | EASTON
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State | MD
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Zip | 21601-3207
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Country | US
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Telephone | 410-714-3305
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Fax | 443-221-4845
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | JILL WILLIS
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Credential | CRNP-PMH
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Telephone | 410-714-3305
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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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