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General NPI Number Information
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NPI Number | 1073154555
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Entity Type | Organization
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Legal Business Name | MINDCARETUTORING SERVICES, INC.
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Dates
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Enumeration Date | 10/04/2019
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Last Update Date | 10/04/2019
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Provider Practice Location Address
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Address Line | 445 BROADHOLLOW RD STE 25
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City | MELVILLE
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State | NY
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Zip | 11747-3645
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Country | US
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Telephone | 516-453-1339
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Fax | 516-453-1339
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Provider Business Mailing Address
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Address Line | 445 BROADHOLLOW RD STE 25
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City | MELVILLE
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State | NY
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Zip | 11747-3645
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Country | US
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Telephone | 516-453-1339
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Fax | 516-453-1339
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | NINA PITTON
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Credential |
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Telephone | 516-280-1327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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