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General NPI Number Information
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NPI Number | 1457250342
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Entity Type | Organization
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Legal Business Name | ROCK OF AGES CARE SERVICES LLC
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 400 W SARATOGA ST FL 1
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City | BALTIMORE
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State | MD
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Zip | 21201-1818
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Country | US
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Telephone | 443-214-2244
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Fax |
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Provider Business Mailing Address
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Address Line | 13 C ST STE B
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City | LAUREL
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State | MD
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Zip | 20707-4152
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Country | US
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Telephone | 202-258-5673
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DAMILOLA OLOFINLUA
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Credential | LCPC
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Telephone | 202-258-5673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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