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General NPI Number Information
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NPI Number | 1366976649
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Entity Type | Organization
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Legal Business Name | FUTURES HEALTH, INC
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 1504 JOH AVE SUITE 160
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City | HALETHORPE
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State | MD
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Zip | 21227-1070
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Country | US
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Telephone | 443-961-3248
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Fax |
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Provider Business Mailing Address
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Address Line | 1504 JOH AVE SUITE 160
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City | HALETHORPE
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State | MD
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Zip | 21227-1070
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Country | US
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Telephone | 443-961-3248
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ELIZABETH AIYEPOLA
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Credential |
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Telephone | 443-961-3248
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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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