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General NPI Number Information
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NPI Number | 1780332346
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Entity Type | Organization
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Legal Business Name | INTEGRATED BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 4200 FORBES BLVD
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City | LANHAM
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State | MD
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Zip | 20706-4342
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Country | US
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Telephone | 202-627-6932
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Fax |
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Provider Business Mailing Address
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Address Line | 12404 WINDING LN
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City | BOWIE
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State | MD
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Zip | 20715-1234
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Country | US
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Telephone | 202-607-6932
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SATWANT KAUR
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Credential |
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Telephone | 301-499-4240
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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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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