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General NPI Number Information
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NPI Number | 1407309081
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Entity Type | Organization
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Legal Business Name | CHESAPEAKE TREATMENT SERVICES SALISBURY
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Dates
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Enumeration Date | 07/29/2016
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Last Update Date | 02/01/2017
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Provider Practice Location Address
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Address Line | 1322 BELMONT AVE
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City | SALISBURY
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State | MD
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Zip | 21804
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Country | US
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Telephone | 302-242-4116
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Fax |
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Provider Business Mailing Address
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Address Line | 1322 BELMONT AVE
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City | SALISBURY
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State | MD
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Zip | 21804
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MELISSA BISHOP
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Credential |
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Telephone | 302-242-4116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | 100973
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 100973
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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