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General NPI Number Information
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NPI Number | 1851785869
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC HEALTH ASSOCIATES, LLC
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Dates
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Enumeration Date | 03/27/2015
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Last Update Date | 09/04/2015
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Provider Practice Location Address
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Address Line | 2191 DEFENSE HWY SUITE 314
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City | CROFTON
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State | MD
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Zip | 21114-2931
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Country | US
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Telephone | 410-451-3000
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Fax | 410-630-7625
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Provider Business Mailing Address
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Address Line | 1861 E QUEENS CT
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City | CROFTON
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State | MD
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Zip | 21114-2626
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. COURTNEY MARSHALL
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Credential |
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Telephone | 443-285-3855
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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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