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General NPI Number Information
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NPI Number | 1962797340
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Entity Type | Organization
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Legal Business Name | CARING ADULT DAYCARE LLC
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Dates
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Enumeration Date | 06/14/2011
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Last Update Date | 06/14/2011
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Provider Practice Location Address
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Address Line | 3742 N 113TH ST KANSAS CITY
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City | KANSAS CITY
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State | KS
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Zip | 66109-3498
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Country | US
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Telephone | 913-271-3763
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Fax |
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Provider Business Mailing Address
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Address Line | 3742 N 113TH ST KANSAS CITY
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City | KANSAS CITY
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State | KS
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Zip | 66109-3498
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Country | US
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Telephone | 913-271-3763
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALBERT O FAKEYE
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Credential |
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Telephone | 913-271-3763
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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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