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General NPI Number Information
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NPI Number | 1881947968
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Entity Type | Organization
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Legal Business Name | NOMADD HEALTH SERVICES
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Dates
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Enumeration Date | 10/26/2012
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Last Update Date | 10/26/2012
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Provider Practice Location Address
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Address Line | 6755 BUSINESS PKWY SUITE 302
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City | ELKRIDGE
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State | MD
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Zip | 21075-6753
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Country | US
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Telephone | 410-796-5180
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Fax |
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Provider Business Mailing Address
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Address Line | 6755 BUSINESS PKWY SUITE 302
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City | ELKRIDGE
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State | MD
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Zip | 21075-6753
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JOANNE WARREN
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Credential | M.D.
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Telephone | 410-796-5180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | D48116
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License Number State | MD
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