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General NPI Number Information
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NPI Number | 1720933310
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Entity Type | Organization
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Legal Business Name | AGATE INTEGRATED AND BEHAVIORAL HEALTHCARE SERVICES INC
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Dates
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Enumeration Date | 02/28/2026
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Last Update Date | 02/28/2026
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Provider Practice Location Address
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Address Line | 5505 YORK RD
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City | BALTIMORE
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State | MD
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Zip | 21212-3806
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Country | US
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Telephone | 240-515-4868
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Fax | 240-515-4868
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Provider Business Mailing Address
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Address Line | 5505 YORK RD
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City | BALTIMORE
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State | MD
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Zip | 21212-3806
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Country | US
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Telephone | 240-515-4868
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Fax | 240-515-4868
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Authorized Official
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Title or Position | CEO
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Name | JIMOH A ADEBAYO
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Credential |
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Telephone | 240-515-4868
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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