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General NPI Number Information
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NPI Number | 1053652081
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Entity Type | Organization
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Legal Business Name | VISITING NURSE SERVICE OF NEW YORK
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Dates
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Enumeration Date | 03/15/2013
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Last Update Date | 03/15/2013
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Provider Practice Location Address
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Address Line | 697 W END AVE APT 15D
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City | NEW YORK
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State | NY
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Zip | 10025-6921
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Country | US
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Telephone | 714-553-6966
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Fax |
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Provider Business Mailing Address
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Address Line | 697 W END AVE APT 15D
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City | NEW YORK
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State | NY
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Zip | 10025-6921
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Country | US
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Telephone | 714-553-6966
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | MICHELLE S LYN
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Credential | RN
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Telephone | 714-553-6966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 22664526
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License Number State | NY
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