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General NPI Number Information
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NPI Number | 1801747357
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Entity Type | Organization
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Legal Business Name | AGAPE VILLAGE
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 4808 HARFORD RD
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City | BALTIMORE
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State | MD
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Zip | 21214-2934
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Country | US
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Telephone | 410-358-4416
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Fax | 410-358-2245
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Provider Business Mailing Address
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Address Line | 25 HOOKS LN STE 200
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City | BALTIMORE
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State | MD
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Zip | 21208-1619
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Country | US
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Telephone | 410-358-4416
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Fax | 410-358-2245
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Authorized Official
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Title or Position | DIRECTOR
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Name | SVYATOSLAV SHPARAGA
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Credential |
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Telephone | 917-361-7545
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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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