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General NPI Number Information
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NPI Number | 1477051209
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Entity Type | Organization
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Legal Business Name | RICHMOND HILL ADULT DAY CARE CENTER INC
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Dates
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Enumeration Date | 01/26/2018
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Last Update Date | 01/26/2018
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Provider Practice Location Address
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Address Line | 13011 LIBERTY AVE
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-3121
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Country | US
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Telephone | 347-484-0565
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Fax | 718-843-2192
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Provider Business Mailing Address
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Address Line | 9501 125TH ST
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-1436
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Country | US
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Telephone | 347-484-0565
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. VISHNU R MAHADEO
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Credential | B SC. / EDFP
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Telephone | 347-484-0565
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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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