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General NPI Number Information
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NPI Number | 1598175192
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Entity Type | Organization
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Legal Business Name | STEP BY STEP OF MARYLAND
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Dates
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Enumeration Date | 05/05/2014
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Last Update Date | 10/27/2016
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Provider Practice Location Address
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Address Line | 5616 PARK HEIGHTS AVE
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City | BALTIMORE
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State | MD
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Zip | 21215-3969
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Country | US
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Telephone | 410-744-5200
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Fax | 443-708-4500
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Provider Business Mailing Address
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Address Line | 5616 PARK HEIGHTS AVE
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City | BALTIMORE
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State | MD
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Zip | 21215-3969
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Country | US
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Telephone | 410-744-5200
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Fax | 443-708-4500
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MISS SHAJUAN M FORSEY
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Credential |
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Telephone | 410-744-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | MD
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