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General NPI Number Information
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NPI Number | 1982583647
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Entity Type | Organization
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Legal Business Name | LIVING SPRING BEHAVIORAL HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 9717 BON HAVEN LN
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City | OWINGS MILLS
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State | MD
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Zip | 21117-7410
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Country | US
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Telephone | 443-929-5350
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Fax |
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Provider Business Mailing Address
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Address Line | 9717 BON HAVEN LN
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City | OWINGS MILLS
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State | MD
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Zip | 21117-7410
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Country | US
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Telephone | 443-929-5350
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Fax | 410-356-3542
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MRS. BIMPE O ADEDO
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Credential | NURSE PRACTIONER
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Telephone | 443-929-5350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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