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General NPI Number Information
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NPI Number | 1750582680
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Entity Type | Organization
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Legal Business Name | ADULT DAY SERVICES OF FLORIDA
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4180 MINTON RD
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City | WEST MELBOURNE
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State | FL
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Zip | 32904-9561
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Country | US
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Telephone | 321-722-9295
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Fax | 321-722-9607
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Provider Business Mailing Address
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Address Line | 4180 MINTON RD
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City | WEST MELBOURNE
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State | FL
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Zip | 32904-9561
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Country | US
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Telephone | 321-722-9295
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Fax | 321-722-9607
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICHARD L PRESTON
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Credential |
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Telephone | 321-722-9295
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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 | 9020
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License Number State | FL
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