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General NPI Number Information
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NPI Number | 1154161990
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Entity Type | Organization
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Legal Business Name | NEW DAWN HEALTH CARE INC.
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Dates
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Enumeration Date | 05/29/2024
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 5100 BUCKEYSTOWN PIKE STE 250
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City | FREDERICK
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State | MD
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Zip | 21704-8344
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Country | US
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Telephone | 443-570-1566
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Fax |
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Provider Business Mailing Address
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Address Line | 2936 ANCON CT
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City | EDGEWOOD
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State | MD
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Zip | 21040-3418
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Country | US
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Telephone | 443-570-1566
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Fax |
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Authorized Official
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Title or Position | PROGRAM ADMINISTRATOR
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Name | TAIWO MATTI
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Credential |
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Telephone | 443-525-5808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 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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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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