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General NPI Number Information
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NPI Number | 1609998822
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Entity Type | Organization
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Legal Business Name | ASSOCIATED CATHOLIC CHARITIES, INC.
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 2600 POT SPRING RD
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City | TIMONIUM
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State | MD
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Zip | 21093-2732
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Country | US
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Telephone | 667-600-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 2300B DULANEY VALLEY RD
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City | TIMONIUM
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State | MD
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Zip | 21093-2739
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Country | US
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Telephone | 667-600-2249
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Fax | 667-600-4068
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Authorized Official
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Title or Position | ACCOUNTS RECEIVABLE AND BILLING MAN
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Name | MR. GLORIA REEVES
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Credential |
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Telephone | 667-600-2249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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