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General NPI Number Information
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NPI Number | 1922706746
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Entity Type | Organization
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Legal Business Name | INFINITE GROWTH LIMITED LIABILITY COMPANY
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 1030 N ARLINGTON AVE
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City | BALTIMORE
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State | MD
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Zip | 21217-2614
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Country | US
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Telephone | 443-563-8212
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 38676
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City | BALTIMORE
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State | MD
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Zip | 21231-8676
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Country | US
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Telephone | 443-570-3075
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. TAUHEAD BURKE
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Credential |
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Telephone | 443-570-3075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #6
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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 |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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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 |
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