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General NPI Number Information
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NPI Number | 1568677144
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Entity Type | Organization
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Legal Business Name | HAPPY DAYS III ADULT HEALTHCARE
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 591 MONTGOMERY ST
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City | JERSEY CITY
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State | NJ
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Zip | 07302-3115
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Country | US
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Telephone | 201-938-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 844 MCCARTER HWY 3RD FLOOR
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City | NEWARK
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State | NJ
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Zip | 07102-5209
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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 | MEMBER
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Name | STEVE KLEIMAN
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Credential | LNHA
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Telephone | 973-350-8777
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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 | 408110
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License Number State | NJ
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