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General NPI Number Information
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NPI Number | 1851224224
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Entity Type | Organization
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Legal Business Name | KEDU BEHAVIORAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 2914 E JOPPA RD STE 204
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City | PARKVILLE
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State | MD
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Zip | 21234-3045
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Country | US
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Telephone | 410-207-8691
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Fax |
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Provider Business Mailing Address
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Address Line | 12425 DIPLOMA DR
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City | REISTERSTOWN
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State | MD
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Zip | 21136-6040
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Country | US
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Telephone | 410-207-8691
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | MRS. JULIET UGOCHI NWOKEDI
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Credential | PMHNP-BC
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Telephone | 410-207-8691
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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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