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General NPI Number Information
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NPI Number | 1578261277
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Entity Type | Organization
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Legal Business Name | ZENITH HEALTHCARE INC
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 3 ROSEMARY WAY APT 1C
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City | REISTERSTOWN
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State | MD
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Zip | 21136-6342
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Country | US
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Telephone | 631-568-7893
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Fax |
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Provider Business Mailing Address
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Address Line | 470 DACULA RD UNIT 1216
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City | DACULA
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State | GA
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Zip | 30019-0109
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Country | US
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Telephone | 631-568-7893
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ADEBISI BAMMEKE
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Credential |
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Telephone | 631-568-7893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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