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General NPI Number Information
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NPI Number | 1689051732
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Entity Type | Organization
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Legal Business Name | PRINCETON ADULT DAY CARE LLC
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Dates
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Enumeration Date | 04/28/2015
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 2245 ROUTE 130
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City | SOUTH BRUNSWICK
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State | NJ
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Zip | 08810
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Country | US
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Telephone | 609-577-0588
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Fax | 732-584-2432
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Provider Business Mailing Address
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Address Line | 2245 ROUTE 130
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City | SOUTH BRUNSWICK
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State | NJ
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Zip | 08810
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Country | US
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Telephone | 609-577-0588
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Fax | 732-584-2432
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Authorized Official
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Title or Position | OWNER
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Name | SHAHRUKH JOVINDAH
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Credential |
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Telephone | 609-577-0588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376G00000X
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Taxonomy Name | Nursing Home Administrator
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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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