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General NPI Number Information
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NPI Number | 1730432634
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Entity Type | Organization
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Legal Business Name | EZDAY ADULT DAYCARE, INC
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Dates
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Enumeration Date | 10/17/2012
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Last Update Date | 10/17/2012
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Provider Practice Location Address
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Address Line | 620 EAST 102ND ST
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City | BROOKLYN
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State | NY
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Zip | 11236
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Country | US
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Telephone | 718-257-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 620 east 102nd street
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City | Brooklyn
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State | NY
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Zip | 11236
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Country | US
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Telephone | 718-257-2700
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. STEVE VASCO
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Credential |
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Telephone | 347-277-4835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health
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License Number |
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License Number State |
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