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General NPI Number Information
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NPI Number | 1992925952
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Entity Type | Organization
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Legal Business Name | ADVENTURES ONE, INC
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 5400 NORFIELD RD
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City | CAPITOL HEIGHTS
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State | MD
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Zip | 20743
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Country | US
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Telephone | 301-736-6622
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Fax | 301-736-6626
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Provider Business Mailing Address
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Address Line | 7121 OLD ALEXANDRIA FERRY RD
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City | CLINTON
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State | MD
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Zip | 20735
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Country | US
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Telephone | 301-856-5553
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Fax | 301-856-5512
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ELEANOR L BONNER
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Credential | MS RN
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Telephone | 301-856-5553
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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 | 9877
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License Number State | MD
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