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General NPI Number Information
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NPI Number | 1407703879
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Entity Type | Organization
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Legal Business Name | ASCEND HOUSE RESTORATIVE LIVING LLC
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 9109 HELAINE HAMLET WAY
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City | COLUMBIA
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State | MD
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Zip | 21045-4057
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Country | US
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Telephone | 443-320-2654
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Fax |
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Provider Business Mailing Address
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Address Line | 3310 EASTERN AVE
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City | BALTIMORE
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State | MD
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Zip | 21224-4108
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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 | CHIEF EXECUTIVE OFFICER
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Name | VERNON HOLMES JR.
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Credential |
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Telephone | 443-320-2654
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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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