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General NPI Number Information
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NPI Number | 1245020049
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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 | 05/07/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 112 COLLIER RD
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City | GRASONVILLE
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State | MD
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Zip | 21638-1200
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Country | US
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Telephone | 443-440-5780
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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 | 443-440-5782
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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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 | 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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