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General NPI Number Information
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NPI Number | 1255041653
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Entity Type | Organization
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Legal Business Name | BUILD HEALTH, INC.
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Dates
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Enumeration Date | 11/28/2022
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 148 LAFAYETTE ST
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City | NEW YORK
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State | NY
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Zip | 10013-3115
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Country | US
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Telephone | 646-907-8251
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Fax |
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Provider Business Mailing Address
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Address Line | 45 E 72ND ST APT 3A
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City | NEW YORK
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State | NY
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Zip | 10021-4178
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | JACOB KRUSHEL
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Credential |
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Telephone | 646-904-8251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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