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General NPI Number Information
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NPI Number | 1063681179
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Entity Type | Organization
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Legal Business Name | SECOND INNING1 ADULT DAY CARE CENTER
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 155 ALGONQUIN PKWY
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City | WHIPPANY
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State | NJ
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Zip | 07981-1601
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Country | US
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Telephone | 190-832-9555
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Fax | 173-263-5209
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Provider Business Mailing Address
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Address Line | 155 ALGONQUIN PKWY
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City | WHIPPANY
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State | NJ
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Zip | 07981-1601
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Country | US
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Telephone | 190-832-9555
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Fax | 173-263-5209
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAGAT MEHTA
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Credential |
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Telephone | 190-832-9555
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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 | IN PROCESS
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License Number State | NJ
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