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General NPI Number Information
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NPI Number | 1205247756
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Entity Type | Organization
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Legal Business Name | APEX ADULT DAY CARE SERVICES, LLC
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Dates
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Enumeration Date | 05/16/2014
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Last Update Date | 05/16/2014
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Provider Practice Location Address
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Address Line | 1175 FINDLAY AVE
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City | BRONX
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State | NY
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Zip | 10456-4182
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Country | US
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Telephone | 718-767-1967
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Fax |
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Provider Business Mailing Address
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Address Line | 45 BLUEBIRD HILL CT
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City | MANHASSET
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State | NY
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Zip | 11030-4021
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Country | US
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Telephone | 917-584-6777
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Fax | 718-228-6927
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Authorized Official
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Title or Position | PRESIDENT & CHIEF EXECUTIVE OFFICER
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Name | DR. JONATHAN MAWERE
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Credential | LNHA, DPT, MD
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Telephone | 917-584-6777
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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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