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General NPI Number Information
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NPI Number | 1881097962
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Entity Type | Organization
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Legal Business Name | ATLANTIC ADULT DAY CARE LLC
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 111 W END AVE
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City | BROOKLYN
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State | NY
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Zip | 11235-4808
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Country | US
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Telephone | 718-513-6904
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Fax | 718-513-6905
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Provider Business Mailing Address
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Address Line | 111 W END AVE
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City | BROOKLYN
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State | NY
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Zip | 11235-4808
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Country | US
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Telephone | 718-513-6904
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Fax | 718-513-6905
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. NATALIA DIOR
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Credential |
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Telephone | 718-513-6904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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