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General NPI Number Information
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NPI Number | 1831003094
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Entity Type | Organization
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Legal Business Name | BMORE RECOVERY, LLC
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 3572 POOLE ST
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City | BALTIMORE
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State | MD
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Zip | 21211-2327
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Country | US
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Telephone | 443-869-2611
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Fax | 667-285-8183
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Provider Business Mailing Address
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Address Line | 219 W 29TH ST
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City | BALTIMORE
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State | MD
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Zip | 21211-2905
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Country | US
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Telephone | 443-869-2611
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Fax | 667-285-8183
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | KEVIN MEENAN
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Credential | LCSW-C
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Telephone | 443-869-2611
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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 | NULL
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