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General NPI Number Information
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NPI Number | 1265999866
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Entity Type | Organization
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Legal Business Name | INTEGRITY HEALTH SERVICES LLC
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Dates
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Enumeration Date | 03/01/2019
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Last Update Date | 06/08/2021
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Provider Practice Location Address
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Address Line | 3455 WILKENS AVE STE 106
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City | BALTIMORE
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State | MD
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Zip | 21229-5213
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Country | US
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Telephone | 410-525-0475
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Fax |
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Provider Business Mailing Address
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Address Line | 3455 WILKENS AVE STE 106
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City | BALTIMORE
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State | MD
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Zip | 21229-5213
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Country | US
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Telephone | 410-525-0475
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TRACEY BENNETT
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Credential |
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Telephone | 443-226-5281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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