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General NPI Number Information
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NPI Number | 1144722158
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Entity Type | Organization
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Legal Business Name | PROJECT CHESAPEAKE, LLC
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Dates
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Enumeration Date | 03/06/2018
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Last Update Date | 05/01/2019
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Provider Practice Location Address
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Address Line | 114 MARKET ST STE 103
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City | DENTON
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State | MD
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Zip | 21629-1066
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Country | US
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Telephone | 443-262-0425
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Fax |
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Provider Business Mailing Address
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Address Line | 200 HARRY S TRUMAN PKWY STE 402
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7397
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Country | US
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Telephone | 443-440-5790
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | JOSEPH ROGERS
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Credential |
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Telephone | 443-440-5780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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