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General NPI Number Information
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NPI Number | 1215439245
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Entity Type | Organization
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Legal Business Name | UPBEAT ADULT DAY CARE INC.
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Dates
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Enumeration Date | 03/06/2018
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Last Update Date | 04/25/2018
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Provider Practice Location Address
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Address Line | 4312 CHURCH AVE
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City | BROOKLYN
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State | NY
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Zip | 11203-3102
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Country | US
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Telephone | 917-960-0617
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Fax |
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Provider Business Mailing Address
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Address Line | 28 LORIMER ST APT 2
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City | BROOKLYN
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State | NY
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Zip | 11206-4878
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Country | US
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Telephone | 917-960-0617
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. AMROM A PASKES
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Credential |
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Telephone | 917-960-0617
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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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