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General NPI Number Information
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NPI Number | 1144693342
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Entity Type | Organization
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Legal Business Name | ENCORE COMMUNITY SERVICES
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Dates
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Enumeration Date | 11/10/2015
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Last Update Date | 11/10/2015
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Provider Practice Location Address
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Address Line | 239 W 49TH ST
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City | NEW YORK
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State | NY
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Zip | 10019-7404
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Country | US
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Telephone | 212-581-2910
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Fax |
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Provider Business Mailing Address
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Address Line | 239 W 49TH ST
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City | NEW YORK
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State | NY
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Zip | 10019-7404
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Country | US
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Telephone | 212-581-2910
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ELIZABETH HASSELT
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Credential |
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Telephone | 646-726-4299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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