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NPI 1912712068

NPI 1912712068 : UNITED HEARTS ADULT MEDICAL DAYCARE : NOTTINGHAM, MD

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General NPI Number Information
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    NPI Number           |    1912712068
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNITED HEARTS ADULT MEDICAL DAYCARE 
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Dates
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    Enumeration Date     |    02/07/2025
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    Last Update Date     |    02/07/2025
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Provider Practice Location Address
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    Address Line         |    9317 BELAIR RD 
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    City                 |    NOTTINGHAM
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    State                |    MD
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    Zip                  |    21236-1608
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    Country              |    US
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    Telephone            |    443-815-1171
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9317 BELAIR RD 
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    City                 |    NOTTINGHAM
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    State                |    MD
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    Zip                  |    21236-1608
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    Country              |    US
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    Telephone            |    443-815-1171
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     IVAN  FORENY 
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    Credential           |    
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    Telephone            |    443-815-1171
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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 |    
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