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General NPI Number Information
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NPI Number | 1346164316
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Entity Type | Organization
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Legal Business Name | PROTOCOL, LLC
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 2336 DRUID HILL AVE
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City | BALTIMORE
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State | MD
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Zip | 21217-1813
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Country | US
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Telephone | 443-515-9157
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 N MONROE ST
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City | BALTIMORE
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State | MD
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Zip | 21217-1316
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Country | US
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Telephone | 443-515-9157
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEVANTE TEEL
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Credential |
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Telephone | 443-515-9157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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