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General NPI Number Information
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NPI Number | 1912345588
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Entity Type | Organization
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Legal Business Name | SINCERE HEARTS ADULT DAY CENTER LLC
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Dates
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Enumeration Date | 06/05/2013
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Last Update Date | 06/05/2013
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Provider Practice Location Address
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Address Line | 1443 E 84TH PL
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City | MERRILLVILLE
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State | IN
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Zip | 46410-6451
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Country | US
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Telephone | 248-686-4926
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Fax | 248-557-4420
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Provider Business Mailing Address
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Address Line | 1443 E 84TH PL
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City | MERRILLVILLE
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State | IN
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Zip | 46410-6451
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Country | US
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Telephone | 248-686-4926
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Fax | 248-557-4420
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NELISSA NASH
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Credential |
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Telephone | 248-686-4926
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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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