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General NPI Number Information
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NPI Number | 1801202155
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Entity Type | Organization
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Legal Business Name | MOUNT VERNON SOCIAL ADULT DAY CARE CENTER LLC
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Dates
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Enumeration Date | 07/08/2014
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Last Update Date | 07/08/2014
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Provider Practice Location Address
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Address Line | 22 E FIRST ST
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City | MOUNT VERNON
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State | NY
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Zip | 10550-3301
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Country | US
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Telephone | 201-819-4348
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Fax |
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Provider Business Mailing Address
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Address Line | 22 E FIRST ST
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City | MOUNT VERNON
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State | NY
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Zip | 10550-3301
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Country | US
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Telephone | 201-819-4348
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. ALEX RUBIN
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Credential |
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Telephone | 201-819-4348
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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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