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General NPI Number Information
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NPI Number | 1851216600
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Entity Type | Organization
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Legal Business Name | THE COLLECTIVE NP CLINIC LLC
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 517 BENFIELD RD STE 100
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City | SEVERNA PARK
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State | MD
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Zip | 21146-2527
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Country | US
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Telephone | 443-494-8924
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Fax | 410-824-5240
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Provider Business Mailing Address
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Address Line | 517 BENFIELD RD STE 100
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City | SEVERNA PARK
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State | MD
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Zip | 21146-2527
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Country | US
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Telephone | 443-494-8924
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Fax | 410-824-5240
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | ASHLEY FENTON
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Credential | DNP, PMHNP-BC, FNP-C
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Telephone | 410-562-5061
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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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