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General NPI Number Information
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NPI Number | 1740785781
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Entity Type | Organization
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Legal Business Name | ALL WALKS OF LIFE, LLC
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 11/26/2019
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Provider Practice Location Address
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Address Line | 220 I ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-4365
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Country | US
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Telephone | 202-256-3339
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Fax |
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Provider Business Mailing Address
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Address Line | 6133 MARLORA RD
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City | BALTIMORE
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State | MD
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Zip | 21239-1929
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FLOYD E TALIAFERRO
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Credential |
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Telephone | 410-984-9978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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