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General NPI Number Information
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NPI Number | 1790506681
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Entity Type | Organization
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Legal Business Name | CENTER FOR COMPREHENSIVE SERVICES, INC
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 1040 SINGERLY RD
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City | ELKTON
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State | MD
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Zip | 21921-4932
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Country | US
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Telephone | 410-398-9850
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Fax |
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Provider Business Mailing Address
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Address Line | 6600 FRANCE AVE S STE 350
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City | EDINA
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State | MN
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Zip | 55435-1810
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Country | US
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Telephone | 952-922-6776
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Fax |
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Authorized Official
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Title or Position | VP & SR. ASST GENERAL COUNSEL
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Name | MARY PATRICIA RODENBERG-ROBERTS
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Credential |
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Telephone | 952-836-2234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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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 | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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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 | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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