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General NPI Number Information
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NPI Number | 1740194406
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Entity Type | Organization
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Legal Business Name | HARFORD BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 216 N HICKORY AVE STE B
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City | BEL AIR
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State | MD
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Zip | 21014-3242
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Country | US
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Telephone | 443-617-9997
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Fax |
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Provider Business Mailing Address
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Address Line | 311 LOGANWOOD CT
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City | JOPPA
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State | MD
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Zip | 21085-3016
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GALAXY GILL
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Credential | PMHNP-BC
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Telephone | 443-617-9997
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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 | NULL
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