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General NPI Number Information
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NPI Number | 1093856593
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Entity Type | Organization
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Legal Business Name | DAYBREAK ADULT DAY SERVICES, INC.
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7819 ROCKY SPRINGS RD
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City | FREDERICK
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State | MD
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Zip | 21702-2824
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Country | US
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Telephone | 301-696-0808
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Fax | 301-696-1164
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Provider Business Mailing Address
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Address Line | 6401 DOGWOOD RD STE 108
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City | BALTIMORE
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State | MD
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Zip | 21207-5248
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Country | US
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Telephone | 410-298-9800
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Fax | 410-298-5206
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Authorized Official
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Title or Position | CHAIRMAN OF THE BORAD
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Name | DR. JOSEPH EDWARD DEVADOSS
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Credential |
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Telephone | 410-298-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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