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General NPI Number Information
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NPI Number | 1386463842
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Entity Type | Organization
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Legal Business Name | ANNE ARUNDEL COUNTY, MARYLAND
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 2666 RIVA RD SUITE 400 ATTN: ALAGRA BASS OR JOELLE RIDGEWAY/MENTAL HEALTH PROG
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City | ANNAPOLIS
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State | MD
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Zip | 21401
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Country | US
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Telephone | 410-222-4257
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Fax | 410-222-4360
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Provider Business Mailing Address
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Address Line | 7320 RITCHIE HIGHWAY ATTN: ALAGRA BASS OR JOELLE RIDGEWAY/MENTAL HEALTH PROG
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City | GLEN BURNIE
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State | MD
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Zip | 21061
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Country | US
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Telephone | 443-760-7916
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Fax | 410-222-4360
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Authorized Official
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Title or Position | CHIEF ADMINISTRATION OFFICER
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Name | MS. CHRISTINE ANDERSON
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Credential |
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Telephone | 410-222-2878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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