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NPI 1922984442

NPI 1922984442 : A PROSPEROUS TOMORROW : BALTIMORE, MD

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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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