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General NPI Number Information
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NPI Number | 1275017816
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Entity Type | Organization
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Legal Business Name | SHREWSBURY HEALTH ADULT DAYCARE
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Dates
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Enumeration Date | 09/19/2018
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Last Update Date | 12/21/2018
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Provider Practice Location Address
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Address Line | 114 WASHINGTON AVE
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City | BELLEVILLE
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State | NJ
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Zip | 07109-2926
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Country | US
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Telephone | 973-336-4968
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Fax |
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Provider Business Mailing Address
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Address Line | 114 WASHINGTON AVE
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City | BELLEVILLE
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State | NJ
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Zip | 07109-2926
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Country | US
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Telephone | 973-336-4968
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Fax | 973-302-7667
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Authorized Official
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Title or Position | OWER
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Name | MARIO MILLAN
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Credential |
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Telephone | 973-336-4968
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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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