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General NPI Number Information
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NPI Number | 1144653197
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Entity Type | Organization
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Legal Business Name | ALBERT SENIOR DAY CENTER LLC
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Dates
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Enumeration Date | 08/13/2013
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Last Update Date | 08/13/2013
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Provider Practice Location Address
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Address Line | 1400 WILLOW AVE STE D
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City | ELKINS PARK
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State | PA
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Zip | 19027-3106
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Country | US
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Telephone | 267-304-8128
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 WILLOW AVE STE D
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City | ELKINS PARK
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State | PA
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Zip | 19027-3106
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Country | US
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Telephone | 267-304-8128
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. WHA YOUNG KIM
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Credential |
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Telephone | 267-304-8128
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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 | 285174
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License Number State | PA
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