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General NPI Number Information
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NPI Number | 1134587678
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Entity Type | Organization
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Legal Business Name | AMERICAN COUNSELING EDUCATIONAL CENTER
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Dates
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Enumeration Date | 01/28/2016
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Last Update Date | 01/28/2016
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Provider Practice Location Address
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Address Line | 2520 PENNSYLVANIA AVE
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City | BALTIMORE
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State | MD
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Zip | 21217-1748
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Country | US
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Telephone | 443-486-3712
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Fax |
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Provider Business Mailing Address
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Address Line | 2520 PENNSYLVANIA AVE
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City | BALTIMORE
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State | MD
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Zip | 21217-1748
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL SUPERVISOR
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Name | MRS. SHELLEY JONES
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Credential |
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Telephone | 443-438-4546
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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 | AC1690
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License Number State | MD
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