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General NPI Number Information
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NPI Number | 1689371353
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Entity Type | Organization
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Legal Business Name | EXODUS BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 115 E MELROSE AVE
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City | BALTIMORE
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State | MD
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Zip | 21212-2945
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Country | US
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Telephone | 410-343-4343
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Fax |
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Provider Business Mailing Address
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Address Line | 700 WASHINGTON BOULEVARD EXODUS ATTN: JAMES APELSTEIN
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City | BALTIMORE
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State | MD
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Zip | 21230
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Country | US
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Telephone | 617-593-3333
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JAMES EXODUS APELSTEIN
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Credential |
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Telephone | 175-933-3336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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