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General NPI Number Information
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NPI Number | 1154796894
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Entity Type | Organization
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Legal Business Name | EASAM IMPROVEMENT SERVICES, LLC
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Dates
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Enumeration Date | 12/07/2015
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Last Update Date | 12/07/2015
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Provider Practice Location Address
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Address Line | 1776 BROADWAY SUITE 1400
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City | NEW YORK
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State | NY
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Zip | 10019-2002
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Country | US
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Telephone | 646-761-8687
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Fax | 917-591-2269
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Provider Business Mailing Address
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Address Line | 1776 BROADWAY SUITE 1400
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City | NEW YORK
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State | NY
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Zip | 10019-2002
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Country | US
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Telephone | 646-761-8687
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Fax | 917-591-2269
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ALLEN BRACKETT
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Credential |
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Telephone | 917-836-4460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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