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General NPI Number Information
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NPI Number | 1952051427
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Entity Type | Organization
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Legal Business Name | ACTIVELIFE ADULT DAY CARE, INC.
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Dates
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Enumeration Date | 03/27/2022
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Last Update Date | 03/27/2022
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Provider Practice Location Address
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Address Line | 17 DARRIN RD
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City | DRACUT
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State | MA
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Zip | 01826-3130
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Country | US
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Telephone | 978-322-0092
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Fax |
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Provider Business Mailing Address
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Address Line | 17 DARRIN RD
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City | DRACUT
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State | MA
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Zip | 01826-3130
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Country | US
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Telephone | 978-322-0092
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JIGNA PATEL
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Credential |
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Telephone | 603-759-6091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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