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General NPI Number Information
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NPI Number | 1578700753
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Entity Type | Organization
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Legal Business Name | GOLDEN YEARS DAY AND HEALTH CENTER, INC.
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Dates
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Enumeration Date | 01/09/2009
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Last Update Date | 03/18/2009
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Provider Practice Location Address
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Address Line | 1257 COLUMBIA BLVD
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City | BLOOMSBURG
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State | PA
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Zip | 17815-8859
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Country | US
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Telephone | 570-380-1333
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Fax | 570-380-1331
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Provider Business Mailing Address
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Address Line | 1257 COLUMBIA BLVD
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City | BLOOMSBURG
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State | PA
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Zip | 17815-8859
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Country | US
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Telephone | 570-380-1333
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Fax | 570-380-1331
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Authorized Official
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Title or Position | SECRETARY
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Name | MR. GREGORY SCOTT DAILY
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Credential |
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Telephone | 570-380-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State | PA
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