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General NPI Number Information
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NPI Number | 1346578507
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Entity Type | Organization
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Legal Business Name | ASSURED ADULT DAY HEALTH CARE CENTER, INC.
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Dates
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Enumeration Date | 11/30/2009
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Last Update Date | 11/30/2009
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Provider Practice Location Address
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Address Line | 345 W MILLS AVE
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City | BREAUX BRIDGE
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State | LA
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Zip | 70517-4805
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Country | US
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Telephone | 337-278-8349
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Fax |
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Provider Business Mailing Address
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Address Line | 345 W MILLS AVE
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City | BREAUX BRIDGE
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State | LA
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Zip | 70517-4805
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. VINCENT ALEXANDER
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Credential |
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Telephone | 337-278-8349
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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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