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General NPI Number Information
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NPI Number | 1811823081
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Entity Type | Individual
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Provider Name | JALYN POMETTO
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Gender | Female
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 9505 REISTERSTOWN RD
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4451
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Country | US
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Telephone | 888-541-1868
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Fax |
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Provider Business Mailing Address
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Address Line | 111 DUMBARTON RD
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City | BALTIMORE
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State | MD
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Zip | 21212-1417
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Country | US
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Telephone | 301-325-2096
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Fax | 301-325-2096
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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