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General NPI Number Information
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NPI Number | 1144048158
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Entity Type | Organization
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Legal Business Name | DAYLIGHT HAVEN LLC
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 617 MOUNT PROSPECT AVE
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City | NEWARK
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State | NJ
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Zip | 07104-1500
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Country | US
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Telephone | 973-282-9494
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Fax |
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Provider Business Mailing Address
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Address Line | 368 NEW HEMPSTEAD RD STE 231
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City | NEW CITY
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State | NY
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Zip | 10956-1900
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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 | MANAGING MEMBER
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Name | YAKOV TAUB
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Credential |
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Telephone | 845-422-2912
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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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