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General NPI Number Information
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NPI Number | 1821741968
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Entity Type | Organization
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Legal Business Name | JESSIE DAVIS, LLC
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Dates
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Enumeration Date | 01/29/2022
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Last Update Date | 01/29/2022
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Provider Practice Location Address
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Address Line | 103 E 2ND ST APT 3
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City | FREDERICK
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State | MD
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Zip | 21701-7200
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Country | US
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Telephone | 301-606-2858
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Fax |
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Provider Business Mailing Address
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Address Line | 103 E 2ND ST APT 3
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City | FREDERICK
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State | MD
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Zip | 21701-7200
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Country | US
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Telephone | 301-606-2858
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | JESSIE DAVIS
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Credential | LCSW-C
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Telephone | 301-606-2858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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