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General NPI Number Information
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NPI Number | 1528852902
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Entity Type | Organization
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Legal Business Name | THE ARK OF KAY LLC
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 391 HYDE PARK AVE APT 204
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City | ROSLINDALE
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State | MA
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Zip | 02131-2166
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Country | US
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Telephone | 617-333-8487
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Fax |
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Provider Business Mailing Address
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Address Line | 89 SCOFIELD DR
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City | STOUGHTON
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State | MA
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Zip | 02072-3589
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AYOTUNJI AJANAKU
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Credential |
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Telephone | 619-270-6631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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