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General NPI Number Information
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NPI Number | 1689450371
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Entity Type | Organization
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Legal Business Name | ALPAS WELLNESS LA PLATA LLC
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Dates
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Enumeration Date | 09/07/2023
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1014 WASHINGTON AVE FIRST, SECOND, THIRD FLOORS
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City | LA PLATA
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State | MD
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Zip | 20646-4228
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Country | US
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Telephone | 240-342-3240
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Fax |
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Provider Business Mailing Address
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Address Line | 1014 WASHINGTON AVE
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City | LA PLATA
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State | MD
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Zip | 20646-4228
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Country | US
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Telephone | 240-342-3240
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Fax |
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Authorized Official
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Title or Position | COMLIANCE MANAGER
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Name | CHRIS YOHE
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Credential |
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Telephone | 717-449-1447
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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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