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General NPI Number Information
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NPI Number | 1053951038
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Entity Type | Organization
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Legal Business Name | RTA HTH INC.
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Dates
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Enumeration Date | 01/08/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 22001 JAMAICA AVE
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City | QUEENS VILLAGE
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State | NY
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Zip | 11428-2140
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Country | US
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Telephone | 718-412-1848
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Fax |
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Provider Business Mailing Address
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Address Line | 22919 MERRICK BLVD # 541
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City | LAURELTON
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State | NY
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Zip | 11413-2108
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Country | US
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Telephone | 718-412-1848
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Fax | 718-977-0366
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Authorized Official
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Title or Position | FOUNDER
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Name | KELLY A HOLMES
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Credential |
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Telephone | 718-412-1848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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