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General NPI Number Information
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NPI Number | 1528403409
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Entity Type | Organization
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Legal Business Name | DAYSCAPE ADULT CARE CENTER INC.
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Dates
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Enumeration Date | 05/06/2013
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Last Update Date | 05/06/2013
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Provider Practice Location Address
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Address Line | 4800 W HILLSBORO BLVD SUITE 13
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4371
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Country | US
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Telephone | 954-531-1771
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Fax | 954-531-1781
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Provider Business Mailing Address
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Address Line | 4800 W HILLSBORO BLVD SUITE 13
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4371
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Country | US
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Telephone | 954-531-1771
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Fax | 954-531-1781
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. SUSAN EICHLER
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Credential |
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Telephone | 954-531-1771
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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 | 9131
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License Number State | FL
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