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General NPI Number Information
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NPI Number | 1710843206
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Entity Type | Organization
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Legal Business Name | SMALL TOWN ADULT DAY SERVICES INC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 1041 OLD US 52 STE B
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City | NEW RICHMOND
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State | OH
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Zip | 45157-8537
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Country | US
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Telephone | 513-905-9520
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Fax | 513-318-0914
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Provider Business Mailing Address
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Address Line | 1041 OLD US 52 STE B
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City | NEW RICHMOND
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State | OH
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Zip | 45157-8537
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Country | US
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Telephone | 513-905-9520
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Fax | 513-318-0914
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | MRS. CARLA PENNINGTON
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Credential | BSN, RN
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Telephone | 513-905-9520
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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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