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General NPI Number Information
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NPI Number | 1174152946
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Entity Type | Organization
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Legal Business Name | EXODUS BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 04/03/2020
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 700 WASHINGTON BLVD
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City | BALTIMORE
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State | MD
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Zip | 21230-2350
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Country | US
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Telephone | 410-343-4343
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Fax |
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Provider Business Mailing Address
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Address Line | 700 WASHINGTON BLVD
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City | BALTIMORE
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State | MD
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Zip | 21230-2350
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Country | US
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Telephone | 410-343-4343
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES APELSTEIN
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Credential |
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Telephone | 410-343-4343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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