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General NPI Number Information
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NPI Number | 1346463445
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Entity Type | Organization
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Legal Business Name | LINA ADULT DAY CARE - COMMUNITY CENTER, LLC
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 119 SANFORD ST
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City | HAMDEN
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State | CT
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Zip | 06514-1724
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Country | US
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Telephone | 203-288-4505
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Fax | 203-288-1822
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Provider Business Mailing Address
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Address Line | 119 SANFORD ST
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City | HAMDEN
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State | CT
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Zip | 06514-1724
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Country | US
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Telephone | 203-288-4505
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Fax | 203-288-1822
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Authorized Official
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Title or Position | OPERATING MANAGER
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Name | MIKHAIL GOLOVYAN
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Credential |
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Telephone | 203-288-4505
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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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