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General NPI Number Information
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NPI Number | 1083508584
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Entity Type | Organization
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Legal Business Name | AMPLIFY HCA INC
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Dates
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Enumeration Date | 06/07/2025
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Last Update Date | 06/07/2025
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Provider Practice Location Address
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Address Line | 100 S JUNIPER ST # 1937
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City | PHILADELPHIA
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State | PA
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Zip | 19107-2703
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Country | US
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Telephone | 631-746-7935
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Fax |
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Provider Business Mailing Address
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Address Line | 10 CEDAR AVE
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City | PATCHOGUE
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State | NY
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Zip | 11772-3507
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Country | US
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Telephone | 631-746-7935
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | DETTY CASSANDRE MICHEL
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Credential |
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Telephone | 631-746-7935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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