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General NPI Number Information
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NPI Number | 1891235438
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Entity Type | Organization
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Legal Business Name | EAGLE DAY CARE INC
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Dates
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Enumeration Date | 03/01/2017
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 35-41 156 STREET
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City | FLUSHING
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State | NY
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Zip | 11354
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Country | US
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Telephone | 347-273-4136
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Fax | 718-539-6035
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Provider Business Mailing Address
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Address Line | 36-40 BOWNE STREET SUITE 6A
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City | FLUSHING
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State | NY
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Zip | 11354-4545
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Country | US
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Telephone | 347-273-4136
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Fax | 718-539-6035
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CHOON HEE SONG
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Credential |
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Telephone | 718-888-9833
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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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