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NPI 1871077859

NPI 1871077859 : WESTMINSTER RESCUE MISSION, INC. : WESTMINSTER, MD

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General NPI Number Information
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    NPI Number           |    1871077859
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    Entity Type          |    Organization 
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    Legal Business Name  |    WESTMINSTER RESCUE MISSION, INC. 
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Dates
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    Enumeration Date     |    09/17/2018
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    Last Update Date     |    09/17/2018
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Provider Practice Location Address
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    Address Line         |    658 LUCABAUGH MILL RD 
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    City                 |    WESTMINSTER
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    State                |    MD
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    Zip                  |    21157-3814
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    Country              |    US
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    Telephone            |    410-848-2222
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 285 
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    City                 |    WESTMINSTER
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    State                |    MD
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    Zip                  |    21158-0285
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    Country              |    US
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    Telephone            |    410-848-2222
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    Fax                  |    
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     CAROL  BERNSTEIN 
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    Credential           |    
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    Telephone            |    410-848-2222
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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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