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General NPI Number Information
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NPI Number | 1851940597
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Entity Type | Organization
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Legal Business Name | SHANTI NIKETAN INC
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Dates
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Enumeration Date | 09/05/2019
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Last Update Date | 09/05/2019
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Provider Practice Location Address
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Address Line | 236-03 BRADDOCK SHANTINIKETAN - A SENIOR DAY CARE CENTER
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City | BELLEROSE
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State | NY
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Zip | 11426
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Country | US
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Telephone | 718-781-0885
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Fax |
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Provider Business Mailing Address
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Address Line | 76-18 266TH STREET
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City | NEW HYDE PARK
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State | NY
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Zip | 11040
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Country | US
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Telephone | 718-740-9400
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Fax |
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Authorized Official
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Title or Position | BOARD MEMBER
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Name | SHANMUGAN SRIDHAR
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Credential |
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Telephone | 718-740-9400
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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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