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General NPI Number Information
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NPI Number | 1700459294
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Entity Type | Organization
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Legal Business Name | ELMHURST ADULT DAYCARE LLC
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Dates
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Enumeration Date | 07/21/2021
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Last Update Date | 07/21/2021
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Provider Practice Location Address
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Address Line | 8219 QUEENS BLVD
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City | ELMHURST
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State | NY
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Zip | 11373-4242
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Country | US
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Telephone | 718-803-2388
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Fax |
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Provider Business Mailing Address
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Address Line | 5840 43RD AVE APT A
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City | WOODSIDE
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State | NY
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Zip | 11377-4814
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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 | DIRECTOR
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Name | YONG LIU
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Credential |
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Telephone | 347-881-5401
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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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