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NPI 1699435420

NPI 1699435420 : NOLLIE'S TOUCH, LLC : PIKESVILLE, MD

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General NPI Number Information
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    NPI Number           |    1699435420
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    Entity Type          |    Organization 
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    Legal Business Name  |    NOLLIE'S TOUCH, LLC 
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Dates
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    Enumeration Date     |    12/21/2021
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    Last Update Date     |    05/12/2023
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Provider Practice Location Address
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    Address Line         |    1498 REISTERSTOWN RD STE 105 
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    City                 |    PIKESVILLE
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    State                |    MD
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    Zip                  |    21208-3817
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    Country              |    US
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    Telephone            |    443-799-3633
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1498 REISTERSTOWN RD STE 105 
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    City                 |    PIKESVILLE
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    State                |    MD
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    Zip                  |    21208-3817
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    Country              |    US
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    Telephone            |    443-799-3633
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    Fax                  |    
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Authorized Official
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    Title or Position    |    REGISTERED NURSE
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    Name                 |     YOLANDA  COATES 
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    Credential           |    RN
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    Telephone            |    443-799-3633
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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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