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General NPI Number Information
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NPI Number | 1306784152
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Entity Type | Organization
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Legal Business Name | INDEPENDENCE CARE SYSTEM, INC.
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 400 E FORDHAM RD FL 12
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City | BRONX
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State | NY
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Zip | 10458-5059
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Country | US
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Telephone | 877-427-2525
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Fax | 212-584-5555
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Provider Business Mailing Address
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Address Line | 169 MADISON AVE STE 15744
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City | NEW YORK
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State | NY
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Zip | 10016-5101
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Country | US
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Telephone | 877-427-2525
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Fax | 212-584-5555
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Authorized Official
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Title or Position | CFO
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Name | KERRI O'NEILL
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Credential |
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Telephone | 646-831-7215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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