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General NPI Number Information
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NPI Number | 1578145736
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Entity Type | Organization
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Legal Business Name | ATOSK HEALTHCARE SERVICES, INC
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Dates
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Enumeration Date | 04/26/2021
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Last Update Date | 04/26/2021
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Provider Practice Location Address
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Address Line | 1055 TAYLOR AVE STE 100
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City | TOWSON
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State | MD
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Zip | 21286-8308
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Country | US
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Telephone | 410-321-6826
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Fax | 443-808-0907
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Provider Business Mailing Address
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Address Line | 1055 TAYLOR AVE STE 207
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City | TOWSON
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State | MD
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Zip | 21286-8341
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Country | US
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Telephone | 410-321-6826
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Fax | 443-808-0907
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. FREDERICK OLADEINDE
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Credential |
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Telephone | 410-321-6826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health 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 | 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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