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General NPI Number Information
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NPI Number | 1326027194
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Entity Type | Organization
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Legal Business Name | CALVERT COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 325 STAFFORD ROAD
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City | BARSTOW
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State | MD
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Zip | 20610
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Country | US
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Telephone | 410-535-3079
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Fax | 410-535-2220
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Provider Business Mailing Address
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Address Line | P.O. BOX 1158
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678
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Country | US
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Telephone | 410-535-3079
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Fax | 410-535-2220
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Authorized Official
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Title or Position | BEHAVIORAL HEALTH DIRECTOR
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Name | MRS. DENISE DICKERSON
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Credential | LCADC, LCDC
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Telephone | 410-535-3079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 12082
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License Number State | MD
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