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General NPI Number Information
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NPI Number | 1811565773
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Entity Type | Organization
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Legal Business Name | DMC EMPOWERING HEALTH SERVICES LLC
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Dates
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Enumeration Date | 06/16/2021
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Last Update Date | 06/16/2021
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Provider Practice Location Address
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Address Line | 2831 HILLEN RD
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City | BALTIMORE
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State | MD
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Zip | 21218-3144
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Country | US
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Telephone | 443-726-6075
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Fax |
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Provider Business Mailing Address
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Address Line | 2831 HILLEN RD
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City | BALTIMORE
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State | MD
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Zip | 21218-3144
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Country | US
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Telephone | 443-726-6075
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MRS. MIA MATTHEWS
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Credential |
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Telephone | 443-726-6075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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