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General NPI Number Information
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NPI Number | 1962037291
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Entity Type | Organization
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Legal Business Name | TRANSFORMED PERSPECTIVES
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Dates
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Enumeration Date | 03/06/2020
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 4709 HARFORD RD STE 6
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City | BALTIMORE
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State | MD
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Zip | 21214-3261
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Country | US
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Telephone | 443-838-9138
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Fax |
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Provider Business Mailing Address
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Address Line | 2807 AILSA AVE
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City | BALTIMORE
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State | MD
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Zip | 21214-2522
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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 | EXECUTIVE DIRECTOR
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Name | NATHANIEL TAYLOR
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Credential |
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Telephone | 443-838-9138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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