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General NPI Number Information
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NPI Number | 1952034670
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Entity Type | Organization
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Legal Business Name | INNER HARBOR PARTNERS, LLC
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Dates
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Enumeration Date | 07/09/2022
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 405 FREDERICK RD STE 256
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City | CATONSVILLE
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State | MD
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Zip | 21228-4666
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Country | US
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Telephone | 410-600-3467
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Fax |
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Provider Business Mailing Address
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Address Line | 405 FREDERICK RD STE 256
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City | CATONSVILLE
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State | MD
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Zip | 21228-4666
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Country | US
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Telephone | 410-600-3467
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MR. DAVON JOHNSON
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Credential |
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Telephone | 443-621-7326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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