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General NPI Number Information
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NPI Number | 1740627009
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Entity Type | Organization
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Legal Business Name | ADULT DAY CARE MA LLC
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Dates
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Enumeration Date | 05/28/2013
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Last Update Date | 05/28/2013
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Provider Practice Location Address
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Address Line | 51 VARNUM RD
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City | DRACUT
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State | MA
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Zip | 01826-3023
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Country | US
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Telephone | 978-884-3915
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Fax |
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Provider Business Mailing Address
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Address Line | 51 VARNUM RD
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City | DRACUT
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State | MA
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Zip | 01826-3023
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Country | US
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Telephone | 978-884-3915
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | EPHRAIM GOTTLIEB
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Credential | ESQ
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Telephone | 978-884-3915
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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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