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General NPI Number Information
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NPI Number | 1740060664
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Entity Type | Organization
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Legal Business Name | UPMC WESTERN MARYLAND
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Dates
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Enumeration Date | 09/29/2023
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Last Update Date | 09/29/2023
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Provider Practice Location Address
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Address Line | 12502 WILLOWBROOK RD
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City | CUMBERLAND
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State | MD
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Zip | 21502-6491
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Country | US
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Telephone | 240-962-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 12502 WILLOWBROOK RD
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City | CUMBERLAND
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State | MD
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Zip | 21502-6491
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Country | US
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Telephone | 240-962-8585
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Fax |
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Authorized Official
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Title or Position | BEHAVIORAL HEALTH THERAPIST 1
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Name | JOCELYN ARBEENE
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Credential | LMSW
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Telephone | 240-818-3156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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