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General NPI Number Information
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NPI Number | 1154804540
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Entity Type | Organization
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Legal Business Name | ADULT DAY SERVICES, INC
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Dates
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Enumeration Date | 09/11/2018
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Last Update Date | 09/11/2018
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Provider Practice Location Address
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Address Line | 3 S STATE RD
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City | UPPER DARBY
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State | PA
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Zip | 19082-2000
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Country | US
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Telephone | 610-352-9945
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Fax | 610-352-5756
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Provider Business Mailing Address
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Address Line | 3 S STATE RD
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City | UPPER DARBY
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State | PA
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Zip | 19082-2000
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Country | US
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Telephone | 610-352-9945
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Fax | 610-352-5756
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. PATRICIA MARY BANES
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Credential | DIRECTOR
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Telephone | 610-352-9945
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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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