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General NPI Number Information
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NPI Number | 1346708187
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Entity Type | Organization
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Legal Business Name | IN TREATMENT LLC
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Dates
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Enumeration Date | 03/12/2019
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Last Update Date | 03/12/2019
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Provider Practice Location Address
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Address Line | 301 MAIN ST STE 2D
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City | REISTERSTOWN
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State | MD
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Zip | 21136-1957
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Country | US
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Telephone | 410-504-3024
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 596
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City | REISTERSTOWN
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State | MD
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Zip | 21136-0596
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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 | BILLING SPECIALITS
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Name | MS. ABIGAIL MASLAN
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Credential |
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Telephone | 410-653-2660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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