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General NPI Number Information
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NPI Number | 1790145209
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Entity Type | Organization
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Legal Business Name | PSYCHOTHERAPEUTIC SERVICES INC
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Dates
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Enumeration Date | 02/25/2016
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 1420 MCKEE RD
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City | DOVER
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State | DE
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Zip | 19904-1378
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Country | US
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Telephone | 302-257-5828
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Fax |
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Provider Business Mailing Address
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Address Line | 104 SPRING AVE UNIT 299
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City | CHESTERTOWN
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State | MD
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Zip | 21620-8512
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Country | US
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Telephone | 410-788-1099
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Fax |
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Authorized Official
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Title or Position | TREASURER & CONTROLLER
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Name | ERIN OLIVER
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Credential |
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Telephone | 410-778-1099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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