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General NPI Number Information
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NPI Number | 1396044608
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Entity Type | Organization
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Legal Business Name | ACC GREEN HOUSE RESIDENCES, INC
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Dates
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Enumeration Date | 03/25/2011
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Last Update Date | 02/17/2012
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Provider Practice Location Address
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Address Line | 1010 E 33RD ST
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City | BALTIMORE
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State | MD
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Zip | 21218-3636
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Country | US
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Telephone | 443-798-3412
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Fax |
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Provider Business Mailing Address
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Address Line | 1966 GREENSPRING DR SUITE 200 ATTN: VALARIE WEEMS
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City | TIMONIUM
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State | MD
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Zip | 21093-4117
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Country | US
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Telephone | 443-798-3412
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | MR. SCOTT W. BECKER
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Credential |
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Telephone | 443-798-3443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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