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General NPI Number Information
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NPI Number | 1427292507
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Entity Type | Organization
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Legal Business Name | NORTH BALTIMORE CENTER, INC
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Dates
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Enumeration Date | 04/21/2009
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Last Update Date | 12/10/2009
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Provider Practice Location Address
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Address Line | 2225 N CHARLES STEET
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City | BALTIMORE CITY
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State | MD
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Zip | 21218
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Country | US
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Telephone | 410-366-4360
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Fax | 410-243-7948
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Provider Business Mailing Address
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Address Line | 2225 N CHARLES STREET
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City | BALTIMORE CITY
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State | MD
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Zip | 21218
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Country | US
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Telephone | 410-366-4360
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Fax | 410-243-7948
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Authorized Official
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Title or Position | DIRECTOR OF HUMAN RESOURCES
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Name | DOLORES H DAVIS
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Credential |
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Telephone | 410-366-4360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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