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General NPI Number Information
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NPI Number | 1437677861
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Entity Type | Organization
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Legal Business Name | NUSTART ADULT DAY CENTER
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Dates
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Enumeration Date | 09/06/2017
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Last Update Date | 03/24/2018
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Provider Practice Location Address
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Address Line | 101 KENYA ST STE 106108
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City | CEDAR HILL
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State | TX
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Zip | 75104-2806
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Country | US
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Telephone | 469-575-0412
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Fax | 469-575-0417
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Provider Business Mailing Address
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Address Line | 708 HAWTHORN DR
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City | CEDAR HILL
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State | TX
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Zip | 75104-3184
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Country | US
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Telephone | 214-840-3933
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Fax | 469-454-5200
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Authorized Official
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Title or Position | OWNER
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Name | MS. JENNIFER KAYE WILLIAMS
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Credential |
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Telephone | 214-840-3933
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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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