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General NPI Number Information
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NPI Number | 1235689894
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Entity Type | Organization
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Legal Business Name | TAKE CONTROL OF YOUR HEALTH INC.
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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 | 1416 ACKERSON BLVD
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City | BAY SHORE
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State | NY
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Zip | 11706-3845
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Country | US
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Telephone | 877-202-8346
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Fax |
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Provider Business Mailing Address
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Address Line | 1416 ACKERSON BLVD PO BX1248
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City | BAY SHORE
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State | NY
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Zip | 11706-3845
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Country | US
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Telephone | 877-202-8346
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Fax |
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Authorized Official
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Title or Position | TECHNICAL DIRECTOR/CEO/MANAGER
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Name | JANET KRONEMBERG
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Credential |
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Telephone | 877-202-8346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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