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General NPI Number Information
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NPI Number | 1861167876
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Entity Type | Organization
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Legal Business Name | AMA SOCIAL ADULT DAY CARE INC
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Dates
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Enumeration Date | 08/11/2021
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 817 LIVONIA AVE
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City | BROOKLYN
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State | NY
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Zip | 11207-5621
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Country | US
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Telephone | 888-885-1027
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Fax |
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Provider Business Mailing Address
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Address Line | 70 RICHMOND ST
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City | BROOKLYN
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State | NY
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Zip | 11208-1323
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Country | US
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Telephone | 917-226-0509
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Fax |
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Authorized Official
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Title or Position | CHIEF MARKETING OFFICER
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Name | AGUSTIN PRADO
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Credential |
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Telephone | 917-226-0509
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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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