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General NPI Number Information
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NPI Number | 1609789791
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Entity Type | Organization
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Legal Business Name | MAC CARE AND SERVICES LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 19254 CIRCLE GATE DR APT 201
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City | GERMANTOWN
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State | MD
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Zip | 20874-5217
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Country | US
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Telephone | 908-884-1792
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Fax |
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Provider Business Mailing Address
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Address Line | 19254 CIRCLE GATE DR APT 201
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City | GERMANTOWN
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State | MD
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Zip | 20874-5217
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Country | US
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Telephone | 908-884-1792
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | QUENNIE QUILONG
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Credential |
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Telephone | 908-884-1792
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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 | NULL
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Taxonomy #2
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State | NULL
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