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General NPI Number Information
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NPI Number | 1982585006
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Entity Type | Organization
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Legal Business Name | NUEVO DIA ADHC 2 LLC
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 1580 VFW PKWY
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City | WEST ROXBURY
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State | MA
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Zip | 02132-5562
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Country | US
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Telephone | 617-959-6593
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Fax |
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Provider Business Mailing Address
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Address Line | 75 AMORY ST
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City | ROXBURY
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State | MA
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Zip | 02119-1051
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Country | US
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Telephone | 617-959-6593
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CARISSA FIGUEROA
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Credential |
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Telephone | 617-959-6593
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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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