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General NPI Number Information
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NPI Number | 1790649358
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Entity Type | Organization
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Legal Business Name | PREVENTX AI LLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 19301 MOON RIDGE DR
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City | GERMANTOWN
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State | MD
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Zip | 20876-1742
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Country | US
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Telephone | 202-931-9833
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Fax |
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Provider Business Mailing Address
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Address Line | 601 13TH ST NW FL 12
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City | WASHINGTON
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State | DC
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Zip | 20005-3819
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Country | US
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Telephone | 202-931-9833
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ELTON BICALHO DO CARMO
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Credential |
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Telephone | 202-931-9833
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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