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General NPI Number Information
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NPI Number | 1932443306
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Entity Type | Organization
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Legal Business Name | TREMONT ADULT DAYCARE, INC
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Dates
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Enumeration Date | 11/24/2012
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Last Update Date | 12/28/2016
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Provider Practice Location Address
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Address Line | 901 E TREMONT AVE
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City | BRONX
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State | NY
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Zip | 10460-4301
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Country | US
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Telephone | 347-537-5222
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Fax | 718-764-4338
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Provider Business Mailing Address
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Address Line | 901 E TREMONT AVE
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City | BRONX
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State | NY
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Zip | 10460-4301
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Country | US
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Telephone | 347-537-5222
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Fax | 718-764-4338
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Authorized Official
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Title or Position | DIRECTOR
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Name | RUTH JACOBOVITCH
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Credential |
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Telephone | 347-926-4134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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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 | NY
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