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General NPI Number Information
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NPI Number | 1285913707
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTHCARE
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Dates
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Enumeration Date | 08/15/2011
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Last Update Date | 08/15/2011
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Provider Practice Location Address
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Address Line | 363 PARKVIEW AVE APT 2J
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City | YONKERS
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State | NY
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Zip | 10710-5158
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Country | US
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Telephone | 914-320-5681
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Fax |
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Provider Business Mailing Address
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Address Line | 363 PARKVIEW AVE APT 2J
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City | YONKERS
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State | NY
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Zip | 10710-5158
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Country | US
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Telephone | 914-320-5681
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Fax |
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Authorized Official
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Title or Position | FIELD SUPERVISOR
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Name | MS. RENNEE ANN ALEXANDER II
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Credential | RN
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Telephone | 914-320-5681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 357676-1
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License Number State | NY
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