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General NPI Number Information
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NPI Number | 1841506813
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Entity Type | Organization
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Legal Business Name | PYRAMID WALDEN, LLC
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 44871 SAINT ANDREWS CHURCH RD
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City | CALIFORNIA
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State | MD
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Zip | 20619-7036
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Country | US
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Telephone | 301-781-7439
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 967
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City | DUNCANSVILLE
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State | PA
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Zip | 16635-0967
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Country | US
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Telephone | 814-940-0407
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Fax |
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Authorized Official
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Title or Position | CHEIF EXECUTIVE OFFICER
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Name | JASON HENDRICKS
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Credential |
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Telephone | 814-940-0407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | MD
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