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General NPI Number Information
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NPI Number | 1275662827
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Entity Type | Organization
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Legal Business Name | ADULT ULTIMATE DAYCARE CENTER, INC.
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 06/24/2019
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Provider Practice Location Address
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Address Line | 3650 N BUCKNER BLVD SUITE 110A
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City | DALLAS
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State | TX
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Zip | 75228-5652
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Country | US
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Telephone | 214-320-0080
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Fax | 214-320-0087
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Provider Business Mailing Address
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Address Line | 3650 N BUCKNER BLVD SUITE 110A
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City | DALLAS
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State | TX
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Zip | 75228-5652
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Country | US
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Telephone | 214-320-0080
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Fax | 214-320-0087
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHERRI ABIOLA ABU
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Credential | RN
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Telephone | 214-320-0080
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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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Taxonomy #2
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number | 119453
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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