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General NPI Number Information
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NPI Number | 1366042590
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Entity Type | Organization
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Legal Business Name | TRANSITIONING AND UPLIFTING INC.
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 10/01/2021
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Provider Practice Location Address
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Address Line | 1029 INGLESIDE AVE
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City | CATONSVILLE
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State | MD
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Zip | 21228-1318
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Country | US
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Telephone | 443-710-3061
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Fax |
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Provider Business Mailing Address
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Address Line | 1029 INGLESIDE AVE
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City | CATONSVILLE
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State | MD
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Zip | 21228-1318
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Country | US
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Telephone | 443-710-3061
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DOMINIQUE LIVERPOOL
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Credential |
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Telephone | 443-710-3061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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