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NPI 1093839151

NPI 1093839151 : OHEL CHILDREN'S HOME &FAMILY SERVICES : BROOKLYN, NM

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General NPI Number Information
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    NPI Number           |    1093839151
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    Entity Type          |    Organization 
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    Legal Business Name  |    OHEL CHILDREN'S HOME &FAMILY SERVICES 
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Dates
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    Enumeration Date     |    03/16/2007
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    Last Update Date     |    01/08/2018
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Provider Practice Location Address
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    Address Line         |    5211 FORT HAMILTON PKWY 
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    City                 |    BROOKLYN
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    State                |    NM
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    Zip                  |    11219
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    Country              |    US
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    Telephone            |    718-972-1377
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    156 BEACH 9TH ST FL 2 
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    City                 |    FAR ROCKAWAY
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    State                |    NY
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    Zip                  |    11691-5636
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    Country              |    US
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    Telephone            |    718-686-3202
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    Fax                  |    718-686-4202
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. DAVID  MANDEL 
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    Credential           |    
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    Telephone            |    718-686-3202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    NY
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