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General NPI Number Information
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NPI Number | 1740876663
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Entity Type | Organization
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Legal Business Name | FLORENCE BEHAVIORAL HEALTH SERVICES,LLC
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Dates
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Enumeration Date | 12/15/2020
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Last Update Date | 12/15/2020
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Provider Practice Location Address
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Address Line | 419 MALCOLM DR STE AB
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City | WESTMINSTER
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State | MD
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Zip | 21157-6130
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Country | US
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Telephone | 410-505-0105
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Fax | 410-914-1797
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Provider Business Mailing Address
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Address Line | 419 MALCOLM DR STE AB
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City | WESTMINSTER
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State | MD
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Zip | 21157-6130
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Country | US
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Telephone | 410-505-0105
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Fax | 410-914-1797
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Authorized Official
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Title or Position | CEO
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Name | MR. OLU ADEBAYO
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Credential |
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Telephone | 410-746-7771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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