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General NPI Number Information
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NPI Number | 1316749773
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Entity Type | Organization
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Legal Business Name | MARYLAND HEALTH SERVICES LLC
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 6918 RIDGE RD STE A-100
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City | ROSEDALE
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State | MD
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Zip | 21237-3854
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Country | US
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Telephone | 443-330-7752
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Fax |
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Provider Business Mailing Address
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Address Line | 4803 RIVERIA WAY
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City | BELTSVILLE
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State | MD
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Zip | 20705-5101
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TAIWO KOYEJO ALADE
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Credential |
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Telephone | 443-330-7752
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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 |
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License Number State |
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