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General NPI Number Information
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NPI Number | 1023679289
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Entity Type | Organization
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Legal Business Name | 99 ADULT DAYCARE II INC
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Dates
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Enumeration Date | 06/27/2019
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Last Update Date | 06/27/2019
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Provider Practice Location Address
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Address Line | 1533-39 N 7TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19122
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Country | US
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Telephone | 215-232-1133
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Fax | 215-787-9929
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Provider Business Mailing Address
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Address Line | 1533-39 N 7TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19122
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Country | US
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Telephone | 215-232-1133
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Fax | 215-787-9929
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | YI LIU
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Credential |
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Telephone | 215-607-9868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 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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