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General NPI Number Information
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NPI Number | 1699358390
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Entity Type | Organization
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Legal Business Name | IMPERIAL HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 04/30/2021
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Last Update Date | 08/31/2021
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Provider Practice Location Address
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Address Line | 601 E NAYLOR MILL RD UNIT F
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City | SALISBURY
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State | MD
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Zip | 21804-2256
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Country | US
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Telephone | 410-572-4738
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Fax | 410-572-4649
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Provider Business Mailing Address
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Address Line | 601 E NAYLOR MILL RD UNIT F
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City | SALISBURY
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State | MD
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Zip | 21804-2256
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Country | US
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Telephone | 410-572-4738
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Fax | 410-572-4649
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Authorized Official
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Title or Position | OWNER
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Name | EMELDA NJEI
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Credential | NP
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Telephone | 302-724-1181
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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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