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General NPI Number Information
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NPI Number | 1831940618
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Entity Type | Organization
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Legal Business Name | TRUSTED THERAPEUTIC SERVICES
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Dates
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Enumeration Date | 03/29/2024
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Last Update Date | 03/29/2024
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Provider Practice Location Address
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Address Line | 4500 FORBES BLVD
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City | LANHAM
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State | MD
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Zip | 20706-6312
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Country | US
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Telephone | 301-237-7866
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Fax |
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Provider Business Mailing Address
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Address Line | 13912 CHERRY TREE CROSSING RD
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City | BRANDYWINE
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State | MD
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Zip | 20613-7779
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Country | US
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Telephone | 301-237-7866
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Fax |
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Authorized Official
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Title or Position | COO
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Name | SHAUNA ROBINSON
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Credential |
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Telephone | 301-237-7866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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