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General NPI Number Information
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NPI Number | 1063692655
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Entity Type | Organization
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Legal Business Name | BALTIMORE CARES, INC.
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Dates
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Enumeration Date | 11/12/2007
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 2300 GARRISON BLVD STE 150
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City | BALTIMORE
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State | MD
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Zip | 21216-2316
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Country | US
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Telephone | 410-233-3111
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Fax | 410-233-3222
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Provider Business Mailing Address
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Address Line | 2300 GARRISON BLVD STE 150
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City | BALTIMORE
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State | MD
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Zip | 21216-2316
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Country | US
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Telephone | 410-233-3111
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Fax | 410-233-3222
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. MICHAEL KIRK DOUGLAS
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Credential | MHS, CAC-AD, ABD
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Telephone | 410-233-3111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 903365
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 903365
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License Number State | MD
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