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General NPI Number Information
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NPI Number | 1619876091
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Entity Type | Organization
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Legal Business Name | ABSOLUTECARE OF BALTIMORE, LLC
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 1040 PARK AVE STE 200
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City | BALTIMORE
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State | MD
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Zip | 21201-5634
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Country | US
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Telephone | 443-738-0300
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Fax | 443-738-0301
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Provider Business Mailing Address
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Address Line | 10175 LITTLE PATUXENT PKWY STE 800 STE 800
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City | COLUMBIA
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State | MD
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Zip | 21044-3401
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Country | US
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Telephone | 667-400-0483
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT OF OPERATIONS
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Name | JEFFREY PARKE
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Credential |
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Telephone | 667-400-0483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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