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General NPI Number Information
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NPI Number | 1073003406
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Entity Type | Organization
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Legal Business Name | CELLULAR TELECOMMUNICATIONS SERVICES INC
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Dates
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Enumeration Date | 05/10/2018
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Last Update Date | 05/10/2018
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Provider Practice Location Address
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Address Line | 6522 17TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11204-3653
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Country | US
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Telephone | 718-577-7886
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Fax |
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Provider Business Mailing Address
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Address Line | 400 CLIVE PL
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City | OCEANSIDE
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State | NY
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Zip | 11572-3407
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Country | US
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Telephone | 347-744-2572
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL MELIHOV
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Credential |
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Telephone | 347-744-2572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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