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General NPI Number Information
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NPI Number | 1093776742
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Entity Type | Organization
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Legal Business Name | MORNINGSIDE HOUSE WESTCHESTER ADULT DAY HEALTH CARE PROGRAM
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 08/28/2008
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Provider Practice Location Address
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Address Line | 50 BROADWAY
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City | HAWTHORNE
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State | NY
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Zip | 10532-1245
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Country | US
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Telephone | 718-409-8225
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Fax | 718-409-8254
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Provider Business Mailing Address
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Address Line | 50 BROADWAY
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City | HAWTHORNE
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State | NY
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Zip | 10532-1245
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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 | SUPPORT SPECIALIST
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Name | JOSEPH TURSONE
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Credential |
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Telephone | 718-409-8225
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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 | 7000345N
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License Number State | NY
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