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General NPI Number Information
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NPI Number | 1255206470
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Entity Type | Organization
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Legal Business Name | SMILE ADHC LLC
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 66680 ACOMA AVENUE
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City | DESERT HOT SPRINGS
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State | CA
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Zip | 92240
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Country | US
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Telephone | 310-569-0009
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Fax | 310-469-7474
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Provider Business Mailing Address
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Address Line | 66680 ACOMA AVENUE
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City | DESERT HOT SPRINGS
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State | CA
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Zip | 92240
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Country | US
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Telephone | 310-569-0009
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Fax | 310-469-7474
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROMAN LAL
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Credential | MD
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Telephone | 310-569-0009
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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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