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General NPI Number Information
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NPI Number | 1922720788
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Entity Type | Organization
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Legal Business Name | D&A BEHAVIORAL HEALTH SERVICES
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Dates
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Enumeration Date | 09/16/2022
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 11890 HEALING WAY
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City | SILVER SPRING
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State | MD
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Zip | 20904-7917
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Country | US
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Telephone | 301-237-0394
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Fax |
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Provider Business Mailing Address
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Address Line | 3018 MARSH CROSSING DR
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City | LAUREL
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State | MD
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Zip | 20724-2972
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Country | US
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Telephone | 301-237-0394
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | PROF. AGNES MENSAH
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Credential | CRNP-PMH
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Telephone | 301-237-0394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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