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General NPI Number Information
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NPI Number | 1720851942
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Entity Type | Organization
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Legal Business Name | FLATBUSH ADULT DAYCARE LLC
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Dates
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Enumeration Date | 10/31/2023
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 885 FLATBUSH AVE FL 2
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City | BROOKLYN
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State | NY
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Zip | 11226-4017
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Country | US
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Telephone | 347-506-6762
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Fax |
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Provider Business Mailing Address
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Address Line | 216A CONSTITUTION PL
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City | COLLEGE POINT
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State | NY
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Zip | 11356-1277
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Country | US
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Telephone | 347-506-6762
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CHENGLONG TU
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Credential |
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Telephone | 347-506-6762
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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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