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General NPI Number Information
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NPI Number | 1295077998
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Entity Type | Organization
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Legal Business Name | MONTEREY PENINSULA WISDOM ADULT DAY HEALTH CARE CENTER
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 03/20/2013
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Provider Practice Location Address
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Address Line | 224 W ALISAL ST
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City | SALINAS
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State | CA
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Zip | 93901-1940
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Country | US
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Telephone | 831-277-7785
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2282
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City | SALINAS
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State | CA
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Zip | 93902-2282
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Country | US
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Telephone | 831-277-7785
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR/OWNWRS
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Name | DR. RAKESH MARY HAGINS CHAND
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Credential | PHD
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Telephone | 408-308-7637
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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 | 550001526
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License Number State | CA
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