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General NPI Number Information
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NPI Number | 1629216536
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Entity Type | Organization
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Legal Business Name | AAA MANAGEMENT, LLC
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Dates
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Enumeration Date | 01/30/2009
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Last Update Date | 01/30/2009
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Provider Practice Location Address
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Address Line | 1821 N SMALLWOOD ST
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City | BALTIMORE
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State | MD
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Zip | 21216-3724
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Country | US
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Telephone | 410-225-7888
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Fax |
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Provider Business Mailing Address
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Address Line | 12726 GORES MILL RD
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City | REISTERSTOWN
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State | MD
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Zip | 21136-5129
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEX CHERNYAK
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Credential |
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Telephone | 410-225-7888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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