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General NPI Number Information
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NPI Number | 1063922060
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Entity Type | Organization
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Legal Business Name | REDEEM HEALTHCARE AND MEDICAL SYSTEM INC
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Dates
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Enumeration Date | 10/04/2017
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Last Update Date | 09/16/2022
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Provider Practice Location Address
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Address Line | 917 N. CAROLINE STREET
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City | BALTIMORE
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State | MD
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Zip | 21205-2120
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Country | US
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Telephone | 443-629-2435
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Fax |
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Provider Business Mailing Address
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Address Line | 917 N CAROLINE ST
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City | BALTIMORE
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State | MD
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Zip | 21205-1000
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Country | US
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Telephone | 410-522-1030
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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. OSE OKOJIE
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Credential |
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Telephone | 443-629-2435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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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 | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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