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General NPI Number Information
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NPI Number | 1225727068
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Entity Type | Organization
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Legal Business Name | CLAYMONT ADULT DAY CARE CENTER LLC
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 06/24/2023
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Provider Practice Location Address
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Address Line | 2400 PHILADELPHIA PIKE STE B
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City | CLAYMONT
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State | DE
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Zip | 19703-2431
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Country | US
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Telephone | 302-404-3888
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Fax | 302-291-4986
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Provider Business Mailing Address
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Address Line | 414 LAUREL CREEK BLVD
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City | MOORESTOWN
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State | NJ
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Zip | 08057-3968
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | XIN LIU
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Credential |
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Telephone | 302-404-3888
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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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