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General NPI Number Information
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NPI Number | 1184398661
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Entity Type | Organization
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Legal Business Name | ADVANCED ADULT DAY HEALTH CENTER LLC
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Dates
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Enumeration Date | 08/06/2021
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Last Update Date | 10/15/2021
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Provider Practice Location Address
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Address Line | 7193 BROOKING WAY
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-5059
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Country | US
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Telephone | 804-317-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 4324 FOX TROTTER DR
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City | RICHMOND
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State | VA
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Zip | 23223-2349
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Country | US
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Telephone | 804-317-7777
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Fax | 804-648-7777
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Authorized Official
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Title or Position | CEO/COO DIRECTOR
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Name | DR. BERNARD L HEYWARD
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Credential | MPC, MBA
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Telephone | 804-317-7777
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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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