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General NPI Number Information
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NPI Number | 1063677425
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Entity Type | Organization
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Legal Business Name | ASSOCIATED CATHOLIC CHARITIES
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 808 LANDMARK DR STE 231
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City | GLEN BURNIE
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State | MD
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Zip | 21061-4985
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Country | US
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Telephone | 667-600-2494
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 DULANEY VALLEY RD STE B
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City | TIMONIUM
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State | MD
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Zip | 21093-2739
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Country | US
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Telephone | 667-600-2249
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Fax | 667-600-4068
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Authorized Official
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Title or Position | A/R AND BILLING MANAGER
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Name | MRS. GLORIA REEVES
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Credential |
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Telephone | 667-600-2249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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