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General NPI Number Information
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NPI Number | 1730866112
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Entity Type | Organization
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Legal Business Name | BHG LXVIII LLC
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Dates
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Enumeration Date | 06/28/2023
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 217 EAST ANTIETAM STREET OBOT ROOM # 100
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City | HAGERSTOWN
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State | MD
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Zip | 21740-5724
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Country | US
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Telephone | 240-420-0000
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Fax | 240-420-0002
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Provider Business Mailing Address
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Address Line | 5001 SPRING VALLEY RD STE 600
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City | DALLAS
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State | TX
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Zip | 75244-3946
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Country | US
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Telephone | 214-365-6100
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Fax | 214-365-6150
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Authorized Official
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Title or Position | CEO
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Name | ANTHONY KILGORE
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Credential |
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Telephone | 214-365-6112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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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 | 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 #4
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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