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General NPI Number Information
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NPI Number | 1639881782
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Entity Type | Organization
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Legal Business Name | KINDRED TREATMENT CENTER
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Dates
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Enumeration Date | 12/20/2022
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Last Update Date | 12/20/2022
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Provider Practice Location Address
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Address Line | 3000 MANCHESTER RD STE B
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City | MANCHESTER
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State | MD
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Zip | 21102-1850
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Country | US
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Telephone | 410-861-0066
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Fax |
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Provider Business Mailing Address
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Address Line | 2855 COUNTRY WOODS CT
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City | FINKSBURG
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State | MD
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Zip | 21048-2091
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Country | US
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Telephone | 443-683-0069
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEGHAN ELIZABETH BOWER
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Credential | LCPC, CAC-AD
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Telephone | 443-683-0069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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