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General NPI Number Information
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NPI Number | 1164222139
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Entity Type | Organization
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Legal Business Name | CONSORTIUM HEALTH AND REHABILITATION CENTER
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 3211 BELAIR RD FIRST FLOOR
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City | BALTIMORE
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State | MD
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Zip | 21213-1287
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Country | US
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Telephone | 443-792-5273
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Fax |
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Provider Business Mailing Address
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Address Line | 3211 BELAIR RD STE 1
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City | BALTIMORE
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State | MD
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Zip | 21213-1287
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BLESSING GABRIEL
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Credential | CRNP
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Telephone | 443-795-9573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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