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General NPI Number Information
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NPI Number | 1134892508
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Entity Type | Organization
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Legal Business Name | ASSOCIATED CATHOLIC CHARITIES, INC
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Dates
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Enumeration Date | 07/30/2021
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 725 FALLSWAY
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City | BALTIMORE
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State | MD
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Zip | 21202-4147
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Country | US
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Telephone | 667-600-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 2300B DULANEY VALLEY RD
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City | TIMONIUM
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State | MD
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Zip | 21093
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Country | US
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Telephone | 667-600-2249
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Fax |
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Authorized Official
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Title or Position | A/R, BILLING, AND SYSTEMS MANAGER
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Name | 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 | 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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