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General NPI Number Information
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NPI Number | 1144693540
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Entity Type | Organization
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Legal Business Name | AKILA CARES, LLC
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Dates
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Enumeration Date | 11/06/2015
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Last Update Date | 11/01/2017
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Provider Practice Location Address
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Address Line | 5160 BALTIMORE NATIONAL PIKE
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City | BALTIMORE
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State | MD
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Zip | 21229-1121
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Country | US
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Telephone | 443-618-5558
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Fax | 410-788-8976
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Provider Business Mailing Address
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Address Line | 5160 BALTIMORE NATIONAL PIKE
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City | BALTIMORE
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State | MD
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Zip | 21229-1121
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Country | US
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Telephone | 410-788-5452
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Fax | 410-788-8976
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. DEANA C COOK
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Credential |
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Telephone | 443-618-5558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | MH-1723
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | MH-1723
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License Number State | MD
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