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General NPI Number Information
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NPI Number | 1922984442
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Entity Type | Organization
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Legal Business Name | A PROSPEROUS TOMORROW
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 101 N HAVEN ST STE 301
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City | BALTIMORE
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State | MD
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Zip | 21224-1612
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Country | US
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Telephone | 443-630-7212
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Fax |
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Provider Business Mailing Address
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Address Line | 3717 BOSTON ST STE 353
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City | BALTIMORE
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State | MD
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Zip | 21224-5752
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Country | US
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Telephone | 443-630-7212
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEVIN JACKSON
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Credential |
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Telephone | 443-570-1402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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