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General NPI Number Information
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NPI Number | 1306398201
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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 | 10/27/2016
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 26845 POINT LOOKOUT RD
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City | LEONARDTOWN
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State | MD
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Zip | 20650-4935
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Country | US
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Telephone | 443-214-5097
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Fax |
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Provider Business Mailing Address
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Address Line | 185 ADMIRAL COCHRANE DR STE 120
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7600
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Country | US
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Telephone | 443-440-5780
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | JOSEPH ROGERS
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Credential |
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Telephone | 443-440-5780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 17401
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License Number State | MD
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Taxonomy #2
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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 |
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License Number State |
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