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General NPI Number Information
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NPI Number | 1922336528
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Entity Type | Organization
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Legal Business Name | GOODWILL INDUSTRIES OF THE CHESAPEAKE, INC
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Dates
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Enumeration Date | 11/20/2009
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Last Update Date | 10/25/2019
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Provider Practice Location Address
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Address Line | 257 E MAIN ST
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City | WESTMINSTER
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State | MD
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Zip | 21157-5523
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Country | US
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Telephone | 410-875-3368
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Fax | 410-875-3371
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Provider Business Mailing Address
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Address Line | 257 E MAIN ST
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City | WESTMINSTER
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State | MD
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Zip | 21157-5523
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Country | US
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Telephone | 410-875-3368
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. HASSAN JAMES
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Credential | CPRP
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Telephone | 410-625-1877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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