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General NPI Number Information
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NPI Number | 1780391672
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Entity Type | Organization
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Legal Business Name | TRANSFORMATION HEALTHCARE INC
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Dates
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Enumeration Date | 11/01/2022
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 7060 OAKLAND MILLS RD STE LM&N
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City | COLUMBIA
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State | MD
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Zip | 21046-1569
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Country | US
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Telephone | 240-374-3801
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Fax |
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Provider Business Mailing Address
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Address Line | 6801 OAK HALL LN UNIT 6462
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City | COLUMBIA
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State | MD
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Zip | 21045-7587
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Country | US
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Telephone | 240-374-3801
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CALISTA CHANA
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Credential |
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Telephone | 410-878-1085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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