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General NPI Number Information
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NPI Number | 1023433927
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Entity Type | Organization
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Legal Business Name | CIRCLES OF CARING ADULT DAY HEALTH FOUNDATION, INC.
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Dates
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Enumeration Date | 02/28/2014
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Last Update Date | 02/28/2014
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Provider Practice Location Address
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Address Line | 225 E PALOUSE RIVER DR
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City | MOSCOW
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State | ID
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Zip | 83843-8915
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Country | US
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Telephone | 208-883-6483
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Fax | 208-883-6489
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Provider Business Mailing Address
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Address Line | 225 E PALOUSE RIVER DR
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City | MOSCOW
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State | ID
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Zip | 83843-8915
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Country | US
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Telephone | 208-883-6483
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Fax | 208-883-6489
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | BARBARA ANNE MAHONEY
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Credential | OTR/L
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Telephone | 208-883-6483
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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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