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General NPI Number Information
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NPI Number | 1992577332
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Entity Type | Organization
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Legal Business Name | NADINA ADULT DAYCARE CENTER LLC
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Dates
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Enumeration Date | 10/30/2023
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 10630 E BETHANY DR STE C
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City | AURORA
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State | CO
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Zip | 80014-2651
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Country | US
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Telephone | 408-332-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 10630 E BETHANY DR STE C
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City | AURORA
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State | CO
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Zip | 80014-2651
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Country | US
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Telephone | 408-332-6400
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | MISS MONA ALEMU FISAHA
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Credential |
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Telephone | 408-332-6400
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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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