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General NPI Number Information
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NPI Number | 1366014946
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Entity Type | Organization
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Legal Business Name | COREASSIST SOLUTIONS
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Dates
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Enumeration Date | 07/13/2021
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Last Update Date | 07/13/2021
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Provider Practice Location Address
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Address Line | 45 HARDING RD
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City | OLD GREENWICH
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State | CT
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Zip | 06870-1501
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Country | US
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Telephone | 203-594-6629
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Fax |
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Provider Business Mailing Address
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Address Line | 45 HARDING RD
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City | OLD GREENWICH
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State | CT
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Zip | 06870-1501
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ALEX GITELMAN
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Credential |
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Telephone | 203-594-6629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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