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General NPI Number Information
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NPI Number | 1922605443
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Entity Type | Organization
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Legal Business Name | EXODUS BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 10/07/2020
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Last Update Date | 05/06/2022
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Provider Practice Location Address
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Address Line | 825 FREEMAN ST
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City | BALTIMORE
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State | MD
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Zip | 21225-1925
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Country | US
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Telephone | 617-593-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 700 WASHINGTON BLVD
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City | BALTIMORE
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State | MD
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Zip | 21230-2350
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Country | US
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Telephone | 617-593-3333
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JAMES APELSTEIN
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Credential |
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Telephone | 410-343-4343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #2
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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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