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General NPI Number Information
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NPI Number | 1053714055
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Entity Type | Organization
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Legal Business Name | NEW LIFE SOCIAL ADULT DAY CARE, INC
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Dates
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Enumeration Date | 10/03/2014
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Last Update Date | 04/12/2016
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Provider Practice Location Address
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Address Line | 197 S BROADWAY
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City | YONKERS
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State | NY
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Zip | 10705
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Country | US
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Telephone | 914-222-0775
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Fax | 914-470-5628
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Provider Business Mailing Address
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Address Line | 197 S BROADWAY
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City | YONKERS
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State | NY
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Zip | 10705
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Country | US
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Telephone | 914-222-0775
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Fax | 914-470-5628
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MS. ZHANNA ALERGANT
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Credential |
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Telephone | 917-734-7430
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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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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 | NY
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