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General NPI Number Information
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NPI Number | 1225352438
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Entity Type | Organization
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Legal Business Name | JOSEL CARE
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Dates
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Enumeration Date | 03/16/2010
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Last Update Date | 03/16/2010
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Provider Practice Location Address
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Address Line | 40 W 116TH ST APT A315
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City | NEW YORK
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State | NY
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Zip | 10026-1092
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Country | US
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Telephone | 646-201-9190
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Fax | 646-201-9190
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Provider Business Mailing Address
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Address Line | 40 W 116TH ST APT A315
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City | NEW YORK
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State | NY
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Zip | 10026-1092
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Country | US
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Telephone | 646-201-9190
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Fax | 646-201-9190
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Authorized Official
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Title or Position | LPN
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Name | MR. MUHAMMED TABRAIZ OODALLY
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Credential | LPN
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Telephone | 646-201-9190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 299573-1
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License Number State | NY
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