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General NPI Number Information
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NPI Number | 1467294876
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Entity Type | Organization
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Legal Business Name | AA ADULT DAY CARE INC
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Dates
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Enumeration Date | 06/07/2024
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 1006 BEACH 20TH ST
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-3900
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Country | US
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Telephone | 646-546-4403
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Fax |
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Provider Business Mailing Address
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Address Line | 24449 GRAND CENTRAL PKWY # 1F
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City | DOUGLASTON
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State | NY
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Zip | 11362-2333
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Country | US
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Telephone | 646-546-4403
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHUAN GAO
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Credential |
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Telephone | 646-546-4403
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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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