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General NPI Number Information
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NPI Number | 1518149707
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Entity Type | Organization
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Legal Business Name | ACTIVE DAY IN, INC.
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 12/08/2011
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Provider Practice Location Address
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Address Line | 7545 ROCKVILLE RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46214-3073
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Country | US
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Telephone | 317-271-2939
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Fax | 317-271-1923
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Provider Business Mailing Address
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Address Line | 7 NESHAMINY INTERPLEX DR
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City | TREVOSE
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State | PA
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Zip | 19053-6927
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Country | US
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Telephone | 215-642-6600
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Fax | 215-642-6600
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Authorized Official
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Title or Position | COO
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Name | MR. CRAIG MEHNERT
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Credential |
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Telephone | 215-642-6600
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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 | IN
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