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General NPI Number Information
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NPI Number | 1356613848
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Entity Type | Organization
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Legal Business Name | SHEM HAR SINAI ADULT DAY CARES LLC
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Dates
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Enumeration Date | 01/31/2012
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Last Update Date | 01/31/2012
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Provider Practice Location Address
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Address Line | 13235 41ST RD #CF 1A-1B
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City | FLUSHING
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State | NY
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Zip | 11355-4113
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Country | US
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Telephone | 718-606-2544
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Fax | 718-606-1077
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Provider Business Mailing Address
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Address Line | 132-35 41ST ROAD #CF 1A-1B
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City | FLUSHING
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State | NY
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Zip | 11355
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Country | US
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Telephone | 718-606-2544
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Fax | 718-606-1077
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Authorized Official
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Title or Position | COO
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Name | MR. CHRISTOPHER BAUTISTA
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Credential |
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Telephone | 718-606-0849
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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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