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General NPI Number Information
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NPI Number | 1861946527
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Entity Type | Organization
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Legal Business Name | JUST ENOUGH LLC
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Dates
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Enumeration Date | 08/11/2016
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Last Update Date | 08/11/2016
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Provider Practice Location Address
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Address Line | 3485 PROMENADE PL APT 101
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City | WALDORF
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State | MD
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Zip | 20603-7280
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Country | US
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Telephone | 301-848-6074
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Fax |
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Provider Business Mailing Address
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Address Line | 3485 PROMENADE PL APT 101
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City | WALDORF
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State | MD
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Zip | 20603-7280
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Country | US
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Telephone | 301-848-6074
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | MR. RICHARD DAVIS JR.
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Credential | CAC II, NCAC I
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Telephone | 301-848-6074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CACII1201
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License Number State | DC
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