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General NPI Number Information
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NPI Number | 1245617042
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Entity Type | Organization
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Legal Business Name | ABA HEALTH SERVICES INC
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Dates
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Enumeration Date | 04/30/2015
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 3939 REISTERSTOWN RD SUITE 150
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City | BALTIMORE
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State | MD
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Zip | 21215-7601
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Country | US
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Telephone | 410-367-7821
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Fax | 410-367-7823
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Provider Business Mailing Address
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Address Line | 3939 REISTERSTOWN RD STE 105
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City | BALTIMORE
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State | MD
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Zip | 21215-7601
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Country | US
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Telephone | 410-367-7821
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Fax | 410-367-7823
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Authorized Official
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Title or Position | CEO
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Name | DR. ALBERT NJOKU
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Credential | DRPH
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Telephone | 410-367-7821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 905477
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License Number State | MD
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