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General NPI Number Information
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NPI Number | 1922531532
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Entity Type | Organization
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Legal Business Name | CARECO LLC
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 1501 S CLINTON ST CT09-01
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City | BALTIMORE
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State | MD
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Zip | 21224-5730
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Country | US
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Telephone | 410-528-5023
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Fax | 410-505-2745
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Provider Business Mailing Address
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Address Line | 1501 S CLINTON ST CT09-01
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City | BALTIMORE
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State | MD
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Zip | 21224-5730
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Country | US
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Telephone | 410-528-5023
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Fax | 410-505-2745
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Authorized Official
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Title or Position | SVP, CHIEF MEDICAL OFFICER
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Name | RAHUL RAJKUMAR
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Credential | M.D.
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Telephone | 410-528-5023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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