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General NPI Number Information
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NPI Number | 1518681907
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Entity Type | Organization
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Legal Business Name | ABC ADULT DAYCARE LLC
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Dates
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Enumeration Date | 09/28/2022
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 763 53RD ST
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City | BROOKLYN
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State | NY
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Zip | 11220-2813
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Country | US
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Telephone | 917-833-1952
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Fax |
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Provider Business Mailing Address
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Address Line | 763 53RD ST
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City | BROOKLYN
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State | NY
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Zip | 11220-2813
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Country | US
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Telephone | 917-909-0288
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Fax | 917-909-0299
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Authorized Official
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Title or Position | PRESIDENT
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Name | JIANYUN LIN
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Credential |
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Telephone | 917-909-0288
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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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