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General NPI Number Information
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NPI Number | 1457218836
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Entity Type | Organization
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Legal Business Name | SHIM ADULT DAY SERVICES, LLC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 10 ONEIL ST
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City | TROY
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State | NY
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Zip | 12180-5443
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Country | US
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Telephone | 518-977-2950
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Fax |
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Provider Business Mailing Address
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Address Line | 10 ONEIL ST
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City | TROY
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State | NY
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Zip | 12180-5443
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Country | US
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Telephone | 518-977-2950
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Fax |
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Authorized Official
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Title or Position | OWNER AND OPERATOR
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Name | MS. NATIA V SHIM
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Credential |
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Telephone | 518-977-2950
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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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