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General NPI Number Information
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NPI Number | 1073782181
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Entity Type | Organization
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Legal Business Name | VALLEY CARE, INC.
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 09/13/2010
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Provider Practice Location Address
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Address Line | 2 FONCLAIR TERRACE EXT.
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City | JOHNSTOWN
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State | NY
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Zip | 12095-3100
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Country | US
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Telephone | 518-762-5252
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Fax |
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Provider Business Mailing Address
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Address Line | 2 FONCLAIR TERRACE EXT.
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City | JOHNSTOWN
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State | NY
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Zip | 12095-3100
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Country | US
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Telephone | 518-762-5252
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Fax |
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Authorized Official
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Title or Position | PRES.
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Name | AKBER H. HASSAM
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Credential | M.D.
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Telephone | 518-762-5252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 1527701
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License Number State | NY
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