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General NPI Number Information
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NPI Number | 1639923808
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Entity Type | Organization
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Legal Business Name | GALILEE ADULT DAYCARE CENTER
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Dates
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Enumeration Date | 04/15/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 5011 ARBUTUS AVE
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City | BALTIMORE
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State | MD
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Zip | 21215-5723
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Country | US
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Telephone | 443-764-9456
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Fax |
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Provider Business Mailing Address
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Address Line | 7201 ALDEN WAY UNIT 3047
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City | HANOVER
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State | MD
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Zip | 21076-2482
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Country | US
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Telephone | 443-764-9454
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | TAMICA MINGO
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Credential |
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Telephone | 443-764-9456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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