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General NPI Number Information
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NPI Number | 1174073696
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Entity Type | Organization
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Legal Business Name | LISA
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Dates
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Enumeration Date | 10/07/2016
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Last Update Date | 10/07/2016
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Provider Practice Location Address
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Address Line | 4 OLIN DR
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City | NANUET
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State | NY
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Zip | 10954-4522
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Country | US
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Telephone | 646-271-7796
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Fax |
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Provider Business Mailing Address
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Address Line | 4 OLIN DR
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City | NANUET
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State | NY
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Zip | 10954-4522
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Country | US
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Telephone | 646-271-7796
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Fax |
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Authorized Official
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Title or Position | RN
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Name | LISA MONTALVO
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Credential |
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Telephone | 646-271-7796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 22-487787
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License Number State | NY
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