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General NPI Number Information
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NPI Number | 1053901751
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Entity Type | Organization
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Legal Business Name | HM CARE LLC
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 418 BLOOMING GROVE TPKE
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City | NEW WINDSOR
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State | NY
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Zip | 12553-7805
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Country | US
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Telephone | 845-269-1739
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Fax |
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Provider Business Mailing Address
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Address Line | 34 GREENWICH AVE
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City | CENTRAL VALLEY
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State | NY
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Zip | 10917-3718
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Country | US
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Telephone | 845-269-1739
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Fax |
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Authorized Official
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Title or Position | BILLING
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Name | KRISTI OTT
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Credential |
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Telephone | 845-235-3817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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