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General NPI Number Information
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NPI Number | 1083943690
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Entity Type | Organization
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Legal Business Name | KELVIN SILVER & ASSOCIATES LLC
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Dates
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Enumeration Date | 12/09/2009
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Last Update Date | 12/09/2009
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Provider Practice Location Address
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Address Line | 800 N CHARLES ST STE 350R
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City | BALTIMORE
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State | MD
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Zip | 21201-5318
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Country | US
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Telephone | 410-952-4088
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Fax |
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Provider Business Mailing Address
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Address Line | 4007 CARLISLE AVE
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City | BALTIMORE
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State | MD
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Zip | 21216-1631
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Country | US
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Telephone | 443-708-5875
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | KELVIN M SILVER
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Credential | LCPC,LCADC,CRC,NCC
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Telephone | 410-952-4088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCA196
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number | 00043777
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC2343
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License Number State | MD
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