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General NPI Number Information
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NPI Number | 1568959302
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Entity Type | Organization
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Legal Business Name | AMICABLE LIVING INC
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Dates
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Enumeration Date | 04/17/2018
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 5020 SUNNYSIDE AVE STE 214
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City | BELTSVILLE
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State | MD
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Zip | 20705-2307
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Country | US
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Telephone | 240-476-2099
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Fax |
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Provider Business Mailing Address
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Address Line | 5020 SUNNYSIDE AVE STE 214
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City | BELTSVILLE
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State | MD
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Zip | 20705-2307
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Country | US
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Telephone | 240-476-2099
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | RASAQ OLATUNJI DAVIES
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Credential |
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Telephone | 240-476-2099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State | MD
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Taxonomy #5
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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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