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General NPI Number Information
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NPI Number | 1649921719
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Entity Type | Organization
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Legal Business Name | MONTARI HEALTH & REHABILITATION
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Dates
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Enumeration Date | 01/11/2022
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Last Update Date | 01/11/2022
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Provider Practice Location Address
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Address Line | 3415 W FRANKLIN ST
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City | BALTIMORE
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State | MD
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Zip | 21229-3054
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Country | US
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Telephone | 443-454-5075
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Fax |
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Provider Business Mailing Address
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Address Line | 10074 PADUA WAY
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4065
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Country | US
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Telephone | 443-454-5075
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CARLA HALL
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Credential |
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Telephone | 443-454-5075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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