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General NPI Number Information
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NPI Number | 1023416328
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Entity Type | Organization
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Legal Business Name | AURORA ADULT DAY CARE CENTER
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Dates
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Enumeration Date | 12/18/2014
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Last Update Date | 12/18/2014
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Provider Practice Location Address
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Address Line | 101 KING ST STE B
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City | EAST AURORA
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State | NY
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Zip | 14052-2301
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Country | US
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Telephone | 716-652-4269
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Fax | 716-652-5917
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Provider Business Mailing Address
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Address Line | 101 KING ST STE B
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City | EAST AURORA
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State | NY
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Zip | 14052-2301
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Country | US
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Telephone | 716-652-4269
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Fax | 716-652-5917
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Authorized Official
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Title or Position | CO-PRESIDENT, BOARD OF DIRECTORS
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Name | MS. KATHLEEN FROST
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Credential |
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Telephone | 716-652-2621
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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 |
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License Number State |
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