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General NPI Number Information
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NPI Number | 1982962726
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Entity Type | Organization
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Legal Business Name | BAO KANG ADULT DAYCARE CENTER INC.
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Dates
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Enumeration Date | 04/30/2012
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 13229 BLOSSOM AVE
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City | FLUSHING
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State | NY
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Zip | 11355-4915
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Country | US
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Telephone | 718-358-0077
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Fax | 347-542-3919
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Provider Business Mailing Address
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Address Line | 13229 BLOSSOM AVE
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City | FLUSHING
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State | NY
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Zip | 11355-4915
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Country | US
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Telephone | 718-358-0077
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Fax | 347-542-3919
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. GUANGJUN XU
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Credential |
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Telephone | 718-358-0077
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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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