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General NPI Number Information
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NPI Number | 1427647569
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Entity Type | Organization
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Legal Business Name | 2ND HOME ADC LLC
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Dates
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Enumeration Date | 01/13/2021
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 2542 BOSTON RD
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City | BRONX
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State | NY
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Zip | 10467-9004
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Country | US
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Telephone | 516-672-2621
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Fax |
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Provider Business Mailing Address
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Address Line | 25 E SALEM ST STE 500
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City | HACKENSACK
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State | NJ
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Zip | 07601-7400
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Country | US
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Telephone | 516-672-2621
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN FRUCHTER
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Credential |
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Telephone | 516-672-2621
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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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