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General NPI Number Information
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NPI Number | 1063362697
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Entity Type | Organization
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Legal Business Name | JOSEPH LOULOU JEROME
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 220 KING RD
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City | ROCKY POINT
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State | NY
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Zip | 11778-9637
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Country | US
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Telephone | 516-885-6299
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Fax |
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Provider Business Mailing Address
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Address Line | 220 KING RD
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City | ROCKY POINT
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State | NY
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Zip | 11778-9637
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Country | US
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Telephone | 516-885-6299
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Fax |
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Authorized Official
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Title or Position | CEO AND FOUNDER
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Name | JOSEPH JEROME
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Credential |
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Telephone | 516-885-6299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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