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General NPI Number Information
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NPI Number | 1023977659
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Entity Type | Organization
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Legal Business Name | YOUR DESTINY YOUR CHOICE
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 1829 E 30TH ST
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City | BALTIMORE
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State | MD
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Zip | 21218-3751
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Country | US
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Telephone | 443-768-1736
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Fax |
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Provider Business Mailing Address
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Address Line | 1829 E 30TH ST
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City | BALTIMORE
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State | MD
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Zip | 21218-3751
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LADAWN JONES
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Credential |
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Telephone | 443-768-1736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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