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General NPI Number Information
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NPI Number | 1427410729
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Entity Type | Organization
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Legal Business Name | KALEIDA SERVICES, LLC
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Dates
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Enumeration Date | 03/25/2016
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Last Update Date | 03/25/2016
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Provider Practice Location Address
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Address Line | 3780 COMMERCE CT SUITE 100
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-2025
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Country | US
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Telephone | 716-243-7888
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 WEHRLE DR
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-7039
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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 | PRESIDENT
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Name | JUDY BAUMGARTNER
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Credential |
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Telephone | 716-630-8293
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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 | 080136645
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License Number State | NY
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