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General NPI Number Information
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NPI Number | 1134600364
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Entity Type | Organization
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Legal Business Name | HAPPY HEARTS SOCIAL ADULT DAY CARE, INC.
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Dates
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Enumeration Date | 08/25/2018
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Last Update Date | 08/25/2018
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Provider Practice Location Address
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Address Line | 52 JERICHO TPKE
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City | MINEOLA
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State | NY
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Zip | 115012938
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Country | US
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Telephone | 888-988-8168
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Fax |
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Provider Business Mailing Address
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Address Line | 52 JERICHO TPKE
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City | MINEOLA
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State | NY
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Zip | 115012938
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Country | US
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Telephone | 888-988-8168
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | PEGGY CHAN
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Credential | CNA, CAC
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Telephone | 516-859-1555
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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
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License Number |
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License Number State |
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