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General NPI Number Information
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NPI Number | 1043768849
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Entity Type | Organization
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Legal Business Name | UNIQUE ADULT DAY CARE CENTER, LLP
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Dates
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Enumeration Date | 09/21/2016
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Last Update Date | 09/21/2016
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Provider Practice Location Address
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Address Line | 911 RICE ST
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City | SAINT PAUL
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State | MN
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Zip | 55117-5424
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Country | US
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Telephone | 651-348-6979
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Fax | 651-414-0168
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Provider Business Mailing Address
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Address Line | 911 RICE ST
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City | SAINT PAUL
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State | MN
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Zip | 55117-5424
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Country | US
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Telephone | 651-348-6979
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Fax | 651-414-0168
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | MR. TOUNEY TOUZAKAO XIONG
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Credential |
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Telephone | 651-348-6979
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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 | 1077962-1-ADC
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License Number State | MN
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