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General NPI Number Information
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NPI Number | 1831425792
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Entity Type | Organization
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Legal Business Name | ABLE HEALTH CARE SYSTEM INC
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Dates
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Enumeration Date | 10/28/2009
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 6023 ARIZONA AVE
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City | BALTIMORE
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State | MD
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Zip | 21206-3804
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Country | US
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Telephone | 410-488-0080
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Fax | 410-488-0729
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Provider Business Mailing Address
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Address Line | 6023 ARIZONA AVE
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City | BALTIMORE
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State | MD
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Zip | 21206-3804
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Country | US
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Telephone | 410-488-0080
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Fax | 410-488-0729
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. AGNES IKUSIKA
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Credential |
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Telephone | 443-522-5457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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