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General NPI Number Information
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NPI Number | 1326342361
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Entity Type | Organization
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Legal Business Name | HEALTH FITNESS CONCEPTS RN, LLC
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Dates
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Enumeration Date | 01/05/2011
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Last Update Date | 01/05/2011
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Provider Practice Location Address
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Address Line | 45 KNOLLWOOD RD SUITE 200
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City | ELMSFORD
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State | NY
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Zip | 10523-2815
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Country | US
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Telephone | 914-684-6064
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Fax | 914-684-6071
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Provider Business Mailing Address
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Address Line | 45 KNOLLWOOD RD SUITE 200
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City | ELMSFORD
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State | NY
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Zip | 10523-2815
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Country | US
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Telephone | 914-684-6064
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Fax | 914-684-6071
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Authorized Official
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Title or Position | PRESIDENT, CEO
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Name | MS. KATHLEEN MARIE FREEMAN
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Credential | REGISTERED NURSE
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Telephone | 914-684-6064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 318738
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License Number State | NY
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