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General NPI Number Information
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NPI Number | 1073049045
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Entity Type | Organization
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Legal Business Name | EVERGREEN ADULT DAYCARE CENTER, INC.
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 3530 JUNCTION BLVD
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City | CORONA
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State | NY
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Zip | 11368-1743
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Country | US
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Telephone | 646-409-5464
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Fax |
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Provider Business Mailing Address
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Address Line | 3530 JUNCTION BLVD
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City | CORONA
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State | NY
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Zip | 11368-1743
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | LEI LIU
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Credential |
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Telephone | 646-409-5464
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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 | NY
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