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General NPI Number Information
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NPI Number | 1316478068
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Entity Type | Organization
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Legal Business Name | RECLAIMING HOPE LLC
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Dates
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Enumeration Date | 03/24/2017
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Last Update Date | 03/24/2017
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Provider Practice Location Address
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Address Line | 1016 WILDWOOD PKWY
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City | BALTIMORE
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State | MD
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Zip | 21229-1851
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Country | US
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Telephone | 443-271-0086
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Fax |
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Provider Business Mailing Address
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Address Line | 1016 WILDWOOD PKWY
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City | BALTIMORE
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State | MD
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Zip | 21229-1851
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Country | US
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Telephone | 443-271-0086
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. TRACY ALLEN
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Credential |
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Telephone | 443-271-0086
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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 | 15946
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License Number State | MD
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