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General NPI Number Information
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NPI Number | 1356986020
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Entity Type | Organization
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Legal Business Name | AGING AND DISABILITY SUPPORT SERVICES, LLC
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Dates
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Enumeration Date | 11/17/2019
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Last Update Date | 11/17/2019
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Provider Practice Location Address
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Address Line | 2578 INTERSTATE DR STE 104
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City | HARRISBURG
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State | PA
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Zip | 17110-9301
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Country | US
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Telephone | 717-857-3997
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Fax | 888-400-2934
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Provider Business Mailing Address
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Address Line | 2578 INTERSTATE DR STE 104
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City | HARRISBURG
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State | PA
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Zip | 17110-9301
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Country | US
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Telephone | 717-857-3997
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Fax | 888-400-2934
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DHANAPATI NEOPANEY
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Credential |
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Telephone | 717-857-3997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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