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General NPI Number Information
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NPI Number | 1548417918
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Entity Type | Organization
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Legal Business Name | AMP-CEP GROUP HOMES, INC.
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Dates
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Enumeration Date | 08/27/2008
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Last Update Date | 08/27/2008
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Provider Practice Location Address
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Address Line | 828 AIRPAX RD 200
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City | CAMBRIDGE
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State | MD
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Zip | 21613-6405
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Country | US
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Telephone | 410-221-0000
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Fax | 410-221-2887
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Provider Business Mailing Address
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Address Line | 10207 JENSEN LN
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City | OWINGS MILLS
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State | MD
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Zip | 21117-3700
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Country | US
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Telephone | 410-902-0448
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Fax | 410-902-0309
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. NEIL MCLAUGHLIN
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Credential | LCADC
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Telephone | 410-902-0448
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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 | 903202
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License Number State | MD
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