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General NPI Number Information
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NPI Number | 1831739382
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Entity Type | Organization
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Legal Business Name | SPRINGFIELD ADULT DAY CARE CENTER
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Dates
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Enumeration Date | 01/13/2020
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Last Update Date | 01/13/2020
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Provider Practice Location Address
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Address Line | 185 AVENUE B FL 1
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City | NEW YORK
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State | NY
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Zip | 10009-3691
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Country | US
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Telephone | 917-836-7761
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Fax |
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Provider Business Mailing Address
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Address Line | 602 EAST 12TH STREET, FL 1
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City | NEW YORK
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State | NY
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Zip | 10009
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. BAO LI ZHANG
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Credential |
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Telephone | 917-836-7761
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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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