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General NPI Number Information
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NPI Number | 1306411632
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Entity Type | Organization
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Legal Business Name | YOUR WAY COMMUNITY SERVICE CORP.
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 45 E 131ST ST
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City | NEW YORK
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State | NY
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Zip | 10037-2950
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Country | US
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Telephone | 914-223-6754
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Fax |
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Provider Business Mailing Address
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Address Line | 45 E 131ST ST
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City | NEW YORK
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State | NY
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Zip | 10037-2950
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Country | US
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Telephone | 914-223-6754
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | QUIANA L WILLIAMS
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Credential | OWNER
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Telephone | 914-223-6754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2278H0200X
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Taxonomy Name | Home Health Certified Respiratory Therapist
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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