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General NPI Number Information
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NPI Number | 1255240032
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Entity Type | Organization
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Legal Business Name | ANCIENT OF DAYS CORPORATION
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Dates
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Enumeration Date | 09/05/2026
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Last Update Date | 09/05/2026
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Provider Practice Location Address
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Address Line | 5907 GARDEN WALK DR
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City | FREDERICK
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State | MD
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Zip | 21703-2992
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Country | US
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Telephone | 575-323-2912
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Fax | 505-531-9817
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Provider Business Mailing Address
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Address Line | 5907 GARDEN WALK DR
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City | FREDERICK
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State | MD
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Zip | 21703-2992
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Country | US
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Telephone | 575-323-2912
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Fax | 505-531-9817
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN GILBERT
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Credential | PMHNP-BC
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Telephone | 347-497-9757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 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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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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