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General NPI Number Information
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NPI Number | 1407113483
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Entity Type | Organization
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Legal Business Name | BERGAND GROUP
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Dates
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Enumeration Date | 04/16/2012
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 1300 YORK ROAD BUILDING C, SUITE 100
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City | LUTHERVILLE
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State | MD
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Zip | 21093
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Country | US
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Telephone | 410-853-7691
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Fax | 443-519-5167
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Provider Business Mailing Address
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Address Line | 1300 YORK ROAD BUILDING C, SUITE 100
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City | LUTHERVILLE
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State | MD
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Zip | 21093
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Country | US
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Telephone | 410-853-7691
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Fax | 443-519-5167
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Authorized Official
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Title or Position | EXECUTIVE
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Name | BENJAMIN COX
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Credential |
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Telephone | 410-853-7691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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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 | 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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