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General NPI Number Information
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NPI Number | 1194576140
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Entity Type | Organization
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Legal Business Name | GARDEN CITY PARK WATER DISTRICT
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Dates
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Enumeration Date | 03/28/2024
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 2264 JERICHO TPKE
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City | GARDEN CITY PARK
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State | NY
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Zip | 11040-4725
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Country | US
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Telephone | 516-746-3194
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Fax |
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Provider Business Mailing Address
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Address Line | 333 MARCUS AVE
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City | GARDEN CITY PARK
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State | NY
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Zip | 11040-3400
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Country | US
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Telephone | 516-746-3194
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Fax |
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Authorized Official
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Title or Position | SUPERVISOR
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Name | MATHEW GEORGE
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Credential |
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Telephone | 516-746-3194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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