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General NPI Number Information
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NPI Number | 1851628184
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Entity Type | Organization
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Legal Business Name | THE GARDEN ADHC, LLC
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Dates
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Enumeration Date | 11/06/2009
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Last Update Date | 11/06/2009
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Provider Practice Location Address
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Address Line | 147 MAIN ST FIRST FLOOR
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City | HACKENSACK
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State | NJ
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Zip | 07601-7124
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Country | US
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Telephone | 201-736-6428
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Fax |
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Provider Business Mailing Address
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Address Line | 709 13TH ST
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City | UNION CITY
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State | NJ
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Zip | 07087-6215
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Country | US
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Telephone | 201-736-6428
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Fax |
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Authorized Official
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Title or Position | C.E.O./ MANAGING PARTNER
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Name | MS. DORIS SUAREZ
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Credential | NJCALA
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Telephone | 201-736-6428
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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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