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General NPI Number Information
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NPI Number | 1144098534
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Entity Type | Organization
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Legal Business Name | CARE4LIFE INC
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Dates
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Enumeration Date | 12/14/2023
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 124 HUTCHINSON BLVD
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City | MOUNT VERNON
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State | NY
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Zip | 10552-2510
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Country | US
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Telephone | 718-612-0304
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Fax |
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Provider Business Mailing Address
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Address Line | 124 HUTCHINSON BLVD
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City | MOUNT VERNON
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State | NY
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Zip | 10552-2510
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Country | US
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Telephone | 718-612-0304
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SOWMYA SREEKANTH
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Credential |
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Telephone | 718-612-0304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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