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General NPI Number Information
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NPI Number | 1326376302
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Entity Type | Organization
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Legal Business Name | MAPLE SHADE YOUTH AND FAMILY SERVICES, INC.
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Dates
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Enumeration Date | 12/02/2009
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Last Update Date | 04/12/2022
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Provider Practice Location Address
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Address Line | 11760 SOMERSET AVE
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City | PRINCESS ANNE
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State | MD
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Zip | 21853-1239
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Country | US
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Telephone | 410-621-5177
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Fax |
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Provider Business Mailing Address
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Address Line | 11760 SOMERSET AVE
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City | PRINCESS ANNE
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State | MD
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Zip | 21853-1239
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Country | US
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Telephone | 410-621-5177
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Fax | 410-621-5051
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | JESSICA DAWN HOLLOWAY-HILL
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Credential |
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Telephone | 410-621-5177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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