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General NPI Number Information
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NPI Number | 1144476565
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Entity Type | Organization
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Legal Business Name | ADULT DAY HEALTH CARE
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Dates
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Enumeration Date | 08/18/2008
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 5015 BEACH CHANNEL DR
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-1110
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Country | US
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Telephone | 718-734-2548
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Fax | 718-734-2545
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Provider Business Mailing Address
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Address Line | 5015 BEACH CHANNEL DR
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-1110
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Country | US
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Telephone | 718-734-2548
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Fax | 718-734-2545
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JANET MIELE-POWERS
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Credential |
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Telephone | 718-734-2750
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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 | 7003308N
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License Number State | NY
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