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General NPI Number Information
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NPI Number | 1154770527
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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 | 06/07/2016
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 5710-5712 RITCHIE HWY
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City | BROOKLYN PARK
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State | MD
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Zip | 21225-3641
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Country | US
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Telephone | 410-636-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 185 ADMIRAL COCHRANE DR STE 225
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7583
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Country | US
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Telephone | 443-440-5788
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF RCM
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Name | CHRISTINA PETERSON
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Credential |
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Telephone | 443-440-5782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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