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General NPI Number Information
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NPI Number | 1194253005
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Entity Type | Organization
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Legal Business Name | BRIGHTER DAY ADULT DAY CARE INC.
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Dates
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Enumeration Date | 05/23/2017
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Last Update Date | 09/13/2018
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Provider Practice Location Address
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Address Line | 28 W MAIN ST FL 2
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City | BAY SHORE
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State | NY
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Zip | 11706-8308
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Country | US
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Telephone | 631-993-4001
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Fax | 631-328-5626
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Provider Business Mailing Address
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Address Line | PO BOX 1008
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City | DEER PARK
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State | NY
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Zip | 11729-0944
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Country | US
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Telephone | 631-993-4001
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Fax | 631-328-5330
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICIA PACAUD-BREZAULT
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Credential |
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Telephone | 631-993-4001
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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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