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General NPI Number Information
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NPI Number | 1477996080
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Entity Type | Organization
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Legal Business Name | OKADULTDAYCARECENTER
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Dates
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Enumeration Date | 04/12/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4018 8TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11232-3759
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Country | US
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Telephone | 917-500-8421
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Fax | 347-227-7994
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Provider Business Mailing Address
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Address Line | 4018 8TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11232-3759
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Country | US
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Telephone | 917-500-8421
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Fax | 347-227-7994
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JIANSHENG LIN
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Credential |
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Telephone | 917-500-8421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State | NY
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