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General NPI Number Information
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NPI Number | 1346514643
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Entity Type | Organization
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Legal Business Name | WHITSONS FOOD SERVICE (BRONX) CORP.
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Dates
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Enumeration Date | 03/05/2012
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 1800 MOTOR PKWY
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City | ISLANDIA
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State | NY
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Zip | 11749-5216
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Country | US
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Telephone | 631-424-2700
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Fax | 631-424-2745
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Provider Business Mailing Address
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Address Line | 1800 MOTOR PKWY
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City | ISLANDIA
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State | NY
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Zip | 11749-5216
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Country | US
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Telephone | 631-424-2700
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Fax | 631-424-2745
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MR. PAUL WHITCOMB
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Credential |
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Telephone | 631-424-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State | NY
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