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General NPI Number Information
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NPI Number | 1558225821
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Entity Type | Organization
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Legal Business Name | TORCH TREATMENT CENTER, LLC
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 1004 W 7TH ST
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City | FREDERICK
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State | MD
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Zip | 21701-4130
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Country | US
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Telephone | 800-867-7424
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 W 7TH ST
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City | FREDERICK
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State | MD
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Zip | 21701-4130
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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 | COMPLIANCE OFFICER
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Name | MELISSA SHADE
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Credential |
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Telephone | 443-517-8724
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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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