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General NPI Number Information
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NPI Number | 1902066350
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Entity Type | Organization
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Legal Business Name | ARCHWAY STATION, INC.
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 20 E OAK ST
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City | OAKLAND
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State | MD
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Zip | 21550-1802
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Country | US
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Telephone | 301-334-9126
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Fax | 301-334-8894
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Provider Business Mailing Address
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Address Line | PO BOX 116
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City | OAKLAND
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State | MD
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Zip | 21550-0116
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Country | US
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Telephone | 301-334-9126
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Fax | 301-334-8894
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Authorized Official
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Title or Position | BEHAVIORAL HEALTH PROGRAM DIRECTOR
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Name | STEPHANIE MOORE
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Credential |
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Telephone | 301-777-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | MD
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