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General NPI Number Information
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NPI Number | 1063349256
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Entity Type | Organization
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Legal Business Name | WHISPERING PINES ALF LLC
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 5811 S HAWTHORNE AVE
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City | ROCK HALL
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State | MD
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Zip | 21661-1464
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Country | US
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Telephone | 410-639-7771
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Fax | 301-476-7544
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Provider Business Mailing Address
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Address Line | 14920 OLD COLUMBIA PIKE
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City | BURTONSVILLE
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State | MD
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Zip | 20866-1610
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Country | US
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Telephone | 301-660-0060
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Fax | 301-476-7544
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Authorized Official
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Title or Position | MANAGER
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Name | RAJU DATLA
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Credential | PHD
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Telephone | 240-305-3484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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