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NPI 1619830254

NPI 1619830254 : PARENTS' PLACE OF MARYLAND, INC. : GLEN BURNIE, MD

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General NPI Number Information
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    NPI Number           |    1619830254
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    Entity Type          |    Organization 
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    Legal Business Name  |    PARENTS' PLACE OF MARYLAND, INC. 
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Dates
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    Enumeration Date     |    12/09/2025
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    802 CROMWELL PARK DR STE H 
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    City                 |    GLEN BURNIE
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    State                |    MD
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    Zip                  |    21061-2563
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    Country              |    US
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    Telephone            |    410-768-9100
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    Fax                  |    410-768-0830
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Provider Business Mailing Address
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    Address Line         |    802 CROMWELL PARK DR STE H 
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    City                 |    GLEN BURNIE
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    State                |    MD
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    Zip                  |    21061-2563
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    Country              |    US
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    Telephone            |    410-768-9100
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    Fax                  |    410-768-0830
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     RENE  AVERITT-SANZONE 
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    Credential           |    
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    Telephone            |    410-768-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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