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General NPI Number Information
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NPI Number | 1992462139
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Entity Type | Organization
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Legal Business Name | ROSIE'S RECOVERY CENTER, LLC
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Dates
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Enumeration Date | 11/22/2021
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 8109 HARFORD RD STE B
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City | PARKVILLE
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State | MD
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Zip | 21234-9205
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Country | US
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Telephone | 443-345-1317
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7844
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City | ESSEX
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State | MD
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Zip | 21221-0844
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Country | US
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Telephone | 443-539-3001
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Fax | 443-539-3020
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Authorized Official
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Title or Position | OWNER
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Name | YOLANDA HAYES
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Credential |
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Telephone | 443-539-3001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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