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General NPI Number Information
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NPI Number | 1457200701
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Entity Type | Organization
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Legal Business Name | NACOSS LLC
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 5105-5107 LINDEN HEIGHTS AVE
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City | BALTIMORE
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State | MD
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Zip | 21215-5705
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Country | US
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Telephone | 240-671-9957
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Fax |
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Provider Business Mailing Address
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Address Line | 12210 DRUMMOND MAPLE DR
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City | HUMBLE
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State | TX
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Zip | 77346-4955
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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 OPERATING OFFICER
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Name | MR. ODELL SMOOT JR.
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Credential |
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Telephone | 240-671-9957
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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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