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General NPI Number Information
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NPI Number | 1326694217
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Entity Type | Organization
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Legal Business Name | IFCS OF MARYLAND, INC. A/K/A INSTITUTE FOR FAMILY CENTERED SERVICES, I
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Dates
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Enumeration Date | 08/15/2019
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 560 RIVERSIDE DR STE B206
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City | SALISBURY
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State | MD
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Zip | 21801-4701
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Country | US
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Telephone | 410-548-5921
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 LORD BALTIMORE DR STE H
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City | WINDSOR MILL
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State | MD
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Zip | 21244-2671
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Country | US
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Telephone | 410-455-4601
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Fax |
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Authorized Official
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Title or Position | VP & SR. ASST GENERAL COUNSEL
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Name | MARY PATRICIA RODENBERG-ROBERTS
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Credential |
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Telephone | 952-836-2234
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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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