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General NPI Number Information
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NPI Number | 1952169872
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Entity Type | Organization
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Legal Business Name | RELECARE HEALTH SERVICES
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Dates
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Enumeration Date | 03/06/2024
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 2542 ADMIRAL LN
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City | BEL AIR
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State | MD
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Zip | 21015-1488
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Country | US
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Telephone | 804-406-7853
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Fax |
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Provider Business Mailing Address
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Address Line | 1443 ROCK SPRING RD # 2071
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City | BEL AIR
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State | MD
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Zip | 21014-1920
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Country | US
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Telephone | 804-406-7843
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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. IKHUORIA NELSON OTOIDE
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Credential | NONE
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Telephone | 804-406-7853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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