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General NPI Number Information
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NPI Number | 1992198139
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Entity Type | Organization
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Legal Business Name | ARI MENTAL HEALTH GROUP PRACTISE
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 419 MAIN ST
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City | LAUREL
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State | MD
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Zip | 20707-4127
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Country | US
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Telephone | 301-490-5551
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Fax | 301-490-2517
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Provider Business Mailing Address
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Address Line | 419 MAIN ST
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City | LAUREL
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State | MD
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Zip | 20707-4127
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Country | US
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Telephone | 301-490-5551
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Fax | 301-490-2517
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | MARIA MACCHIO
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Credential |
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Telephone | 410-923-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 905320
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License Number State | MD
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