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General NPI Number Information
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NPI Number | 1154795094
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Entity Type | Organization
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Legal Business Name | BLUE SKY ADULT DAY CARE INC
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Dates
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Enumeration Date | 11/16/2015
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Last Update Date | 11/17/2015
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Provider Practice Location Address
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Address Line | 13440 CHERRY AVE
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City | FLUSHING
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State | NY
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Zip | 11355-4711
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Country | US
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Telephone | 718-483-0049
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Fax |
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Provider Business Mailing Address
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Address Line | 13440 CHERRY AVE
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City | FLUSHING
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State | NY
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Zip | 11355-4711
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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 | DIRECTOR
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Name | MRS. XIAO HE
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Credential | DIRECTOR
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Telephone | 212-495-9798
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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 | NY
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