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General NPI Number Information
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NPI Number | 1376406975
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Entity Type | Organization
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Legal Business Name | PASSPORT TO JOY ADULT DAY HEALTH
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 3 FERRY ST STE E-1
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City | BRADFORD
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State | MA
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Zip | 01835-7441
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Country | US
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Telephone | 978-364-1173
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Fax |
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Provider Business Mailing Address
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Address Line | 15 MULDOON DR
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City | HUDSON
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State | NH
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Zip | 03051-5231
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Country | US
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Telephone | 978-364-1173
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | STEPHANIE MARIE TEJEDA
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Credential | RB
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Telephone | 978-364-1173
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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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