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General NPI Number Information
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NPI Number | 1942557152
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Entity Type | Organization
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Legal Business Name | BUILDING COMMUNITIES TODAY FOR TOMORROW
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 2901 DRUID PARK DR SUITE A210
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City | BALTIMORE
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State | MD
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Zip | 21215-8102
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Country | US
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Telephone | 410-467-6600
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Fax | 410-225-9110
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Provider Business Mailing Address
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Address Line | 2901 DRUID PARK DR SUITE A210
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City | BALTIMORE
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State | MD
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Zip | 21215-8102
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Country | US
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Telephone | 410-467-6600
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Fax | 410-225-9110
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | CEDRIC LEMAR TUCKER
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Credential |
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Telephone | 410-467-6600
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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 | LC4081
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC4081
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC4081
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LC4081
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License Number State | MD
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