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General NPI Number Information
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NPI Number | 1194384818
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Entity Type | Organization
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Legal Business Name | THRIVE ADULT DAY, LLC.
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Dates
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Enumeration Date | 06/06/2019
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 8720 HARRIS RD UNIT 101
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City | BAKERSFIELD
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State | CA
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Zip | 93311-9846
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Country | US
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Telephone | 805-917-2005
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Fax | 805-917-2003
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Provider Business Mailing Address
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Address Line | 2955 E. HILLCREST DR SUITE 129
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City | THOUSAND OAKS
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State | CA
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Zip | 91362
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Country | US
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Telephone | 805-917-2005
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Fax | 805-917-2003
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | AMANDA SILLARS
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Credential | LCSW, MSW
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Telephone | 805-917-2005
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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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