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General NPI Number Information
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NPI Number | 1922728856
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Entity Type | Organization
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Legal Business Name | NEW ADULT DAYCAR CORP
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 09/07/2022
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Provider Practice Location Address
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Address Line | 16018 NORTHERN BLVD FL 2
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City | FLUSHING
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State | NY
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Zip | 11358-1672
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Country | US
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Telephone | 718-799-0760
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Fax | 718-750-0111
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Provider Business Mailing Address
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Address Line | 16018 NORTHERN BLVD FL 2
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City | FLUSHING
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State | NY
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Zip | 11358-1672
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Country | US
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Telephone | 718-799-0760
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Fax | 718-750-0111
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MS. KYOUNG SOOK JEONG
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Credential |
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Telephone | 347-225-4073
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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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