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General NPI Number Information
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NPI Number | 1376891945
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Entity Type | Organization
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Legal Business Name | DAYSPRING PROGRAMS INC
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 01/14/2014
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Provider Practice Location Address
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Address Line | 1125 N PATTERSON PARK AVE
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City | BALTIMORE
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State | MD
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Zip | 21213-3440
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Country | US
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Telephone | 410-563-3459
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Fax | 410-276-0036
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Provider Business Mailing Address
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Address Line | 1125 N PATTERSON PARK AVE
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City | BALTIMORE
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State | MD
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Zip | 21213-3440
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Country | US
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Telephone | 410-563-3459
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Fax | 410-276-0036
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | PAM PALABIS
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Credential |
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Telephone | 410-563-3459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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