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General NPI Number Information
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NPI Number | 1801608518
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Entity Type | Organization
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Legal Business Name | PRAGMATIC BEHAVIORAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 9199 REISTERSTOWN RD STE 104B
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4513
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Country | US
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Telephone | 240-838-6599
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Fax | 443-327-5510
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Provider Business Mailing Address
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Address Line | 9199 REISTERSTOWN RD STE 104B
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4513
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Country | US
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Telephone | 240-838-6599
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Fax | 443-327-5510
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Authorized Official
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Title or Position | OWNER
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Name | ALICE GERMAINE N BEUKAM
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Credential | MSN
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Telephone | 240-838-6599
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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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