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General NPI Number Information
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NPI Number | 1346507498
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Entity Type | Organization
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Legal Business Name | ABOVE & BEYOND CARE LLC
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Dates
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Enumeration Date | 04/13/2012
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Last Update Date | 04/13/2012
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Provider Practice Location Address
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Address Line | 490 E 23RD ST APT B5
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City | BROOKLYN
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State | NY
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Zip | 11226-9328
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Country | US
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Telephone | 347-299-0649
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Fax |
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Provider Business Mailing Address
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Address Line | 490 E 23RD ST APT B5
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City | BROOKLYN
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State | NY
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Zip | 11226-9328
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Country | US
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Telephone | 347-299-0649
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Fax |
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Authorized Official
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Title or Position | LPN
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Name | MS. KEMISHA MEDLEY
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Credential | NURSE
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Telephone | 347-299-0649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | NY
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