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General NPI Number Information
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NPI Number | 1386919413
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Entity Type | Organization
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Legal Business Name | JN ADULT SOCIAL DAY CARE SERVICE
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Dates
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Enumeration Date | 03/22/2012
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Last Update Date | 03/22/2012
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Provider Practice Location Address
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Address Line | 825 57TH ST FL 2
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City | BROOKLYN
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State | NY
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Zip | 11220-3648
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Country | US
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Telephone | 718-701-3422
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Fax | 718-504-7588
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Provider Business Mailing Address
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Address Line | 825 57TH ST FL 2
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City | BROOKLYN
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State | NY
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Zip | 11220-3648
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Country | US
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Telephone | 718-701-3422
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Fax | 718-504-7588
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Authorized Official
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Title or Position | C.E.O.
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Name | MR. LEI YANG
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Credential |
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Telephone | 718-701-3422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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