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General NPI Number Information
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NPI Number | 1023695665
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Entity Type | Organization
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Legal Business Name | CHOICES INTEGRATED HEALTHCARE
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 05/05/2021
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Provider Practice Location Address
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Address Line | 1600 - 1608 BUSH STREET
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City | BALTIMORE
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State | MD
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Zip | 21230-2021
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Country | US
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Telephone | 410-304-6670
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Fax | 410-304-6675
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Provider Business Mailing Address
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Address Line | 1600 BUSH ST
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City | BALTIMORE
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State | MD
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Zip | 21230-2021
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Country | US
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Telephone | 410-304-6670
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Fax | 410-304-6675
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | KIMBERLY SMITH
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Credential | LCSW-C
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Telephone | 410-304-6670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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