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General NPI Number Information
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NPI Number | 1063038016
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Entity Type | Organization
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Legal Business Name | AMERICA ELDERLY CARE LLC
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Dates
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Enumeration Date | 06/24/2020
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Last Update Date | 02/26/2021
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Provider Practice Location Address
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Address Line | 5701 LONGVIEW RD
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City | KANSAS CITY
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State | MO
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Zip | 64137-2728
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Country | US
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Telephone | 239-219-2513
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Fax |
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Provider Business Mailing Address
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Address Line | 74 ALICIA RD
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City | DORCHESTER
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State | MA
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Zip | 02124-4738
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Country | US
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Telephone | 239-219-2513
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. SIVAN LAM
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Credential | PHARM.D
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Telephone | 239-219-2513
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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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