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General NPI Number Information
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NPI Number | 1598669236
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Entity Type | Individual
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Provider Name | JAIMIE NICOLE DIFILIPPO ADT
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Gender | Female
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 1337 W LOMBARD ST
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City | BALTIMORE
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State | MD
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Zip | 21223-3133
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Country | US
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Telephone | 866-578-7471
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Fax |
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Provider Business Mailing Address
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Address Line | 103 THREE COIN WAY
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City | GLEN BURNIE
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State | MD
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Zip | 21060-0857
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Country | US
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Telephone | 410-863-8696
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | ADT4147
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License Number State | MD
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