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General NPI Number Information
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NPI Number | 1215401807
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Entity Type | Organization
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Legal Business Name | THE INTERFAITH NUTRITION NETWORK, INC.
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Dates
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Enumeration Date | 01/16/2019
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Last Update Date | 01/16/2019
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Provider Practice Location Address
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Address Line | 108 MADISON AVE
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City | HEMPSTEAD
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State | NY
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Zip | 11550-4812
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Country | US
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Telephone | 516-489-3238
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Fax |
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Provider Business Mailing Address
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Address Line | 211 FULTON AVE FL 2
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City | HEMPSTEAD
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State | NY
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Zip | 11550-3928
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Country | US
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Telephone | 516-486-8506
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | MS. JOANNE ROBINSON
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Credential |
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Telephone | 516-534-2810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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