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General NPI Number Information
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NPI Number | 1568311660
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Entity Type | Organization
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Legal Business Name | WINDSOR MANOR
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 3333 WINDSOR AVE
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City | BALTIMORE
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State | MD
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Zip | 21216-2617
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Country | US
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Telephone | 443-449-5505
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Fax |
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Provider Business Mailing Address
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Address Line | 3333 WINDSOR AVE
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City | BALTIMORE
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State | MD
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Zip | 21216-2617
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Country | US
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Telephone | 443-449-5505
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Fax |
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Authorized Official
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Title or Position | CONSULTANT
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Name | ALFRED AJISHE
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Credential |
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Telephone | 202-460-7577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health 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 | 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 #4
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Taxonomy Code | 364SP0812X
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Taxonomy Name | Community Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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