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NPI 1851930382

NPI 1851930382 : DAYLIGHT HEALTHCARE SERVICES, INC : RANDALLSTOWN, MD

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General NPI Number Information
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    NPI Number           |    1851930382
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    Entity Type          |    Organization 
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    Legal Business Name  |    DAYLIGHT HEALTHCARE SERVICES, INC 
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Dates
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    Enumeration Date     |    01/01/2020
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    Last Update Date     |    01/01/2020
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Provider Practice Location Address
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    Address Line         |    3812 PIKESWOOD DR 
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    City                 |    RANDALLSTOWN
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    State                |    MD
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    Zip                  |    21133-2710
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    Country              |    US
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    Telephone            |    443-739-9568
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3812 PIKESWOOD DR 
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    City                 |    RANDALLSTOWN
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    State                |    MD
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    Zip                  |    21133-2710
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    Country              |    US
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    Telephone            |    443-739-9568
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    Fax                  |    
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Authorized Official
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    Title or Position    |    HR-CONSULTANT/CONTRACTOR
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    Name                 |    MR. EDWIN  BUTLER 
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    Credential           |    
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    Telephone            |    410-782-1761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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