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General NPI Number Information
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NPI Number | 1295183135
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Entity Type | Organization
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Legal Business Name | AMERICAN ADULT DAY CARE LLC
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Dates
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Enumeration Date | 06/01/2016
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Last Update Date | 06/01/2016
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Provider Practice Location Address
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Address Line | 2342 VICTORIA FALLS DR
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City | ORLANDO
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State | FL
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Zip | 32824-4314
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Country | US
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Telephone | 407-963-5638
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Fax | 407-278-4020
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Provider Business Mailing Address
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Address Line | 2342 VICTORIA FALLS DR
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City | ORLANDO
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State | FL
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Zip | 32824-4314
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Country | US
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Telephone | 407-963-5638
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Fax | 407-278-4020
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Authorized Official
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Title or Position | MGR / OWNER
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Name | O'NEIL PERALTA
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Credential | LPN
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Telephone | 407-963-5638
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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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