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General NPI Number Information
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NPI Number | 1225117864
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Entity Type | Organization
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Legal Business Name | M & T ADULT DAY HEALTH CARE CENTER, INC.
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 820 W VALLEY BLVD
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City | ALHAMBRA
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State | CA
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Zip | 91803-3233
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Country | US
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Telephone | 626-943-0070
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Fax | 626-943-0077
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Provider Business Mailing Address
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Address Line | 820 W VALLEY BLVD
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City | ALHAMBRA
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State | CA
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Zip | 91803-3233
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Country | US
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Telephone | 626-943-0070
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Fax | 626-943-0077
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. RAYMOND CHU
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Credential |
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Telephone | 626-943-0070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State | CA
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