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General NPI Number Information
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NPI Number | 1184447203
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Entity Type | Organization
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Legal Business Name | OSHIN AMOR RECOVERY CENTER L.L.C
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 2300 GARRISON BLVD STE 250
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City | BALTIMORE
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State | MD
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Zip | 21216-2377
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Country | US
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Telephone | 443-760-1479
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Fax |
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Provider Business Mailing Address
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Address Line | 4501 ELI DR APT E
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City | OWINGS MILLS
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State | MD
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Zip | 21117-3798
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Country | US
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Telephone | 443-760-1479
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NAKIA N WILLIAMS
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Credential | RN
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Telephone | 443-760-1479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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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 | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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