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General NPI Number Information
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NPI Number | 1528790821
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Entity Type | Organization
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Legal Business Name | CLEAR WATER RECOVERY
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Dates
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Enumeration Date | 06/27/2022
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Last Update Date | 04/05/2024
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Provider Practice Location Address
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Address Line | 631 N FULTON AVE
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City | BALTIMORE
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State | MD
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Zip | 21217-1403
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Country | US
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Telephone | 410-260-9338
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Fax |
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Provider Business Mailing Address
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Address Line | 7916 MANSION HOUSE XING
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City | PASADENA
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State | MD
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Zip | 21122-6313
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Country | US
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Telephone | 410-260-9338
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEXANDER BLACK
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Credential |
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Telephone | 410-260-9338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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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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