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General NPI Number Information
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NPI Number | 1124465091
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Entity Type | Organization
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Legal Business Name | SOFT TOUCH SOCIAL ADULT DAY INC
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Dates
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Enumeration Date | 05/31/2013
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Last Update Date | 05/31/2013
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Provider Practice Location Address
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Address Line | 5308 13TH AVE 331
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City | BROOKLYN
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State | NY
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Zip | 11219-3804
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Country | US
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Telephone | 212-666-6630
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Fax |
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Provider Business Mailing Address
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Address Line | 9425 5TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11209-7485
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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 | OWNER
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Name | ARTHUR MAVASHEV
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Credential |
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Telephone | 212-666-6630
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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