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General NPI Number Information
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NPI Number | 1619348919
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Entity Type | Organization
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Legal Business Name | MORAVIAN CENTER ADULT DAY SERVICES
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Dates
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Enumeration Date | 10/13/2015
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Last Update Date | 10/13/2015
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Provider Practice Location Address
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Address Line | 227 N. QUEEN STREET
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City | LANCASTER
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State | PA
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Zip | 17603
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Country | US
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Telephone | 717-490-6225
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Fax | 717-553-5962
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Provider Business Mailing Address
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Address Line | 227 NORTH QUEEN STREET
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City | LANCASTER
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State | PA
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Zip | 17603
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Country | US
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Telephone | 717-490-6225
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Fax | 717-553-5962
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. ZOE ANN BRACCI
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Credential |
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Telephone | 717-490-6225
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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 | 265534
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License Number State | PA
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