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General NPI Number Information
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NPI Number | 1013463298
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Entity Type | Organization
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Legal Business Name | CHILDRENS CHOICE OF MARYLAND, INC
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Dates
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Enumeration Date | 08/29/2016
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 1813 SWEETBAY DR
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City | SALISBURY
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State | MD
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Zip | 21804-1663
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Country | US
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Telephone | 410-546-6106
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Fax | 410-219-2640
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Provider Business Mailing Address
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Address Line | 1813 SWEETBAY DR
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City | SALISBURY
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State | MD
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Zip | 21804-1663
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Country | US
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Telephone | 410-546-6106
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Fax | 410-219-2640
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Authorized Official
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Title or Position | SECRETARY
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Name | MARY STOKES
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Credential |
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Telephone | 410-643-9290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 1727
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License Number State | MD
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