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General NPI Number Information
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NPI Number | 1023872850
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Entity Type | Organization
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Legal Business Name | COLLABORATIVE HEALING
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 7901 BRANCH AVE
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City | CLINTON
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State | MD
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Zip | 20735-1626
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Country | US
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Telephone | 301-877-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 2301 DORSEY RD STE 213
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City | GLEN BURNIE
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State | MD
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Zip | 21061-3275
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Country | US
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Telephone | 443-942-7665
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. HUGH DUANTE DUCKETT
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Credential |
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Telephone | 443-942-7665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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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