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General NPI Number Information
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NPI Number | 1639620362
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Entity Type | Organization
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Legal Business Name | ASSOCIATED CATHOLIC CHARITIES
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Dates
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Enumeration Date | 10/18/2016
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Last Update Date | 10/18/2016
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Provider Practice Location Address
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Address Line | 1301 CONTINENTAL DR SUITE 101
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City | ABINGDON
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State | MD
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Zip | 21009-2338
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Country | US
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Telephone | 410-676-4002
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Fax |
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Provider Business Mailing Address
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Address Line | 1966 GREENSPRING DR SUITE 200
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City | TIMONIUM
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State | MD
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Zip | 21093-4117
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Country | US
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Telephone | 667-600-2249
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Fax |
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Authorized Official
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Title or Position | ACCOUNTS RECEIVABLE AND BILLING MAN
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Name | GLORIA OVERSMITH
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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