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NPI 1225406317

NPI 1225406317 : ALPS ADULT DAY SERVICES : MORRISTOWN, TN

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General NPI Number Information
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    NPI Number           |    1225406317
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALPS ADULT DAY SERVICES 
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Dates
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    Enumeration Date     |    09/08/2015
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    Last Update Date     |    09/08/2015
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Provider Practice Location Address
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    Address Line         |    600 N. DAISY ST. 
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    City                 |    MORRISTOWN
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    State                |    TN
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    Zip                  |    37814
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    Country              |    US
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    Telephone            |    423-587-9149
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    Fax                  |    423-587-9234
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Provider Business Mailing Address
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    Address Line         |    600 N. DAISY ST. 
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    City                 |    MORRISTOWN
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    State                |    TN
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    Zip                  |    37814
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    Country              |    US
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    Telephone            |    423-587-9149
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    Fax                  |    423-587-9234
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     MAHON  FRITTS 
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    Credential           |    
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    Telephone            |    423-587-9149
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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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