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General NPI Number Information
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NPI Number | 1538005251
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Entity Type | Organization
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Legal Business Name | SHANI ASSISTANT LIVING SERVICES
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Dates
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Enumeration Date | 04/25/2026
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Last Update Date | 04/25/2026
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Provider Practice Location Address
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Address Line | 340 S LOUDON AVE UNIT 25364
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City | BALTIMORE
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State | MD
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Zip | 21229-7532
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Country | US
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Telephone | 443-851-3699
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Fax |
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Provider Business Mailing Address
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Address Line | 340 S LOUDON AVE
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City | BALTIMORE
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State | MD
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Zip | 21229-7500
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Country | US
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Telephone | 443-851-3699
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CHINTAN PATEL
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Credential |
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Telephone | 443-851-3699
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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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