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General NPI Number Information
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NPI Number | 1366265423
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Entity Type | Organization
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Legal Business Name | CANAAN HUMANE SERVICES INC
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 711 GREENWOOD RD
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City | PIKESVILLE
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State | MD
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Zip | 21208-4705
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Country | US
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Telephone | 443-796-6939
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Fax |
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Provider Business Mailing Address
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Address Line | 711 GREENWOOD RD
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City | PIKESVILLE
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State | MD
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Zip | 21208-4705
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Country | US
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Telephone | 443-796-6939
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TITILOLA OWELEKE
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Credential |
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Telephone | 443-796-6939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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