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General NPI Number Information
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NPI Number | 1730007345
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Entity Type | Organization
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Legal Business Name | SHAMAH CARE, LLC
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Dates
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Enumeration Date | 07/09/2026
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Last Update Date | 07/09/2026
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Provider Practice Location Address
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Address Line | 6109 ROSEDALE DR
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City | HYATTSVILLE
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State | MD
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Zip | 20782-2296
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Country | US
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Telephone | 202-718-8942
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Fax |
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Provider Business Mailing Address
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Address Line | 6109 ROSEDALE DR
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City | HYATTSVILLE
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State | MD
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Zip | 20782-2296
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Country | US
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Telephone | 202-718-8942
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JUSTINE ASAHA
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Credential | MSC
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Telephone | 202-718-8942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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