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General NPI Number Information
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NPI Number | 1457504763
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Entity Type | Organization
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Legal Business Name | MORNING STAR ADULT DAY CARE LLP
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Dates
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Enumeration Date | 10/30/2008
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Last Update Date | 10/30/2008
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Provider Practice Location Address
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Address Line | 90 KYLE WAY
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City | EWING
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State | NJ
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Zip | 08628-2523
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Country | US
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Telephone | 917-385-4772
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Fax |
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Provider Business Mailing Address
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Address Line | 90 KYLE WAY
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City | EWING
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State | NJ
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Zip | 08628-2523
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Country | US
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Telephone | 917-385-4772
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. FREDERICK ADOMAKO
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Credential |
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Telephone | 917-385-4772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 9999999
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License Number State | NJ
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