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General NPI Number Information
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NPI Number | 1720695661
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Entity Type | Organization
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Legal Business Name | ANDRADE ADULT DAY CARE INC.
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Dates
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Enumeration Date | 09/24/2020
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 1755 BALD HILL RD
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City | WARWICK
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State | RI
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Zip | 02886-4266
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Country | US
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Telephone | 401-523-4397
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Fax |
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Provider Business Mailing Address
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Address Line | 294 ROBIN HOLLOW RD
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City | WEST GREENWICH
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State | RI
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Zip | 02817-2133
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Country | US
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Telephone | 401-523-4397
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ ADMINISTRATOR
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Name | GREGORY S ANDRADE
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Credential | RN
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Telephone | 401-523-4397
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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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