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General NPI Number Information
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NPI Number | 1386829661
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Entity Type | Organization
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Legal Business Name | ARUNDEL LODGE, INC
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Dates
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Enumeration Date | 01/04/2008
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Last Update Date | 01/04/2008
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Provider Practice Location Address
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Address Line | 337 BRIGHTSEAT RD
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City | LANDOVER
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State | MD
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Zip | 20785-4736
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Country | US
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Telephone | 443-433-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 SOLOMONS ISLAND RD
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City | EDGEWATER
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State | MD
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Zip | 21037-1102
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Country | US
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Telephone | 443-433-5929
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Fax | 410-841-6045
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | KERRY LOWRY
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Credential |
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Telephone | 443-433-5929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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