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General NPI Number Information
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NPI Number | 1609399005
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Entity Type | Organization
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Legal Business Name | DORSETTE MAPP ADULT DAY PROGRAM
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 07/18/2017
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Provider Practice Location Address
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Address Line | 376 DECATUR ST
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City | BROOKLYN
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State | NY
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Zip | 11233-1508
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Country | US
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Telephone | 718-756-1108
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Fax |
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Provider Business Mailing Address
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Address Line | 701 RUTLAND RD.
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City | BROOKLYN
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State | NY
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Zip | 11203-1807
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Country | US
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Telephone | 347-693-0193
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DORSETTE MAPP
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Credential |
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Telephone | 347-693-0193
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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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