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General NPI Number Information
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NPI Number | 1760124911
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Entity Type | Organization
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Legal Business Name | FOCUS BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 04/08/2022
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 12222 KINGSWELL ST
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City | BOWIE
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State | MD
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Zip | 20721-1952
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Country | US
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Telephone | 240-393-6770
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Fax | 240-393-6770
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Provider Business Mailing Address
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Address Line | 1404 S MAIN CHAPEL WAY STE 104 PMB 705
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City | GAMBRILLS
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State | MD
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Zip | 21054-1860
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Country | US
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Telephone | 240-393-6770
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/PROVIDER
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Name | DR. JOY UMEOBI
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Credential | PMHNP-BC
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Telephone | 240-393-6770
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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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Taxonomy #2
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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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