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General NPI Number Information
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NPI Number | 1801095476
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Entity Type | Organization
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Legal Business Name | LYNN ZABOTA ADULT DAY CARE, INC.
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 08/29/2019
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Provider Practice Location Address
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Address Line | 80 EXCHANGE ST
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City | LYNN
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State | MA
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Zip | 01901-1443
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Country | US
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Telephone | 781-595-3200
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Fax | 781-595-3207
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Provider Business Mailing Address
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Address Line | 80 EXCHANGE ST
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City | LYNN
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State | MA
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Zip | 01901-1443
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Country | US
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Telephone | 781-595-3200
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Fax | 781-595-3207
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MR. GENNADIY ITSKIN
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Credential |
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Telephone | 617-839-8299
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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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