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General NPI Number Information
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NPI Number | 1770016628
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Entity Type | Organization
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Legal Business Name | MERCER ADULT DAY CARE LLC
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Dates
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Enumeration Date | 04/07/2017
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Last Update Date | 04/07/2017
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Provider Practice Location Address
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Address Line | 1132 MORNING GLORY DR
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City | MONROE TOWNSHIP
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State | NJ
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Zip | 08831-5350
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Country | US
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Telephone | 609-721-1170
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Fax |
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Provider Business Mailing Address
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Address Line | 911 ARENA DR
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City | HAMILTON
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State | NJ
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Zip | 08610-3409
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Country | US
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Telephone | 609-888-4141
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | CHIRAYU PANDYA
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Credential |
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Telephone | 609-721-1170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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