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General NPI Number Information
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NPI Number | 1972455863
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Entity Type | Organization
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Legal Business Name | DALEV BEHAVIORAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 14440 CHERRY LANE CT STE 101A
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City | LAUREL
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State | MD
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Zip | 20707-4946
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Country | US
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Telephone | 301-922-8670
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Fax |
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Provider Business Mailing Address
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Address Line | 7722 SUFFOLK WAY
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City | HANOVER
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State | MD
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Zip | 21076-1916
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Country | US
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Telephone | 301-922-8670
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GENEVIEVE KABUIN
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Credential |
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Telephone | 301-922-8670
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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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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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