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General NPI Number Information
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NPI Number | 1174384507
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Entity Type | Organization
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Legal Business Name | SMILING HEARTS 1-1 LLC
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 7256 CALM SUNSET
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City | COLUMBIA
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State | MD
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Zip | 21046-3400
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Country | US
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Telephone | 240-549-0020
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Fax |
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Provider Business Mailing Address
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Address Line | 9091 SNOWDEN RIVER PKWY # 1092
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City | COLUMBIA
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State | MD
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Zip | 21046-1657
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Country | US
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Telephone | 240-549-0020
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/FOUNDER
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Name | MR. HAKEEM ABDUL BUUZA
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Credential |
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Telephone | 240-549-0020
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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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