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General NPI Number Information
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NPI Number | 1154087237
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Entity Type | Organization
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Legal Business Name | KEEP IT SIMPLE SERVICES LLC
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Dates
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Enumeration Date | 11/12/2021
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Last Update Date | 11/12/2021
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Provider Practice Location Address
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Address Line | 22 W PADONIA RD STE C253
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City | LUTHERVILLE
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State | MD
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Zip | 21093-2272
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Country | US
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Telephone | 410-561-7030
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Fax |
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Provider Business Mailing Address
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Address Line | 10 LIGHT ST UNIT 2604
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City | BALTIMORE
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State | MD
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Zip | 21202-1419
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Country | US
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Telephone | 443-613-0246
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ISMAIL K AHMAD
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Credential |
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Telephone | 443-613-0246
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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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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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