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General NPI Number Information
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NPI Number | 1376370189
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Entity Type | Organization
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Legal Business Name | CENTER COMPREHENSIVE HEALTH PRACTICE
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Dates
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Enumeration Date | 09/16/2024
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 35 E 110TH ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10029-0354
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Country | US
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Telephone | 212-360-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 35 E 110TH ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10029-0354
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Country | US
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Telephone | 212-360-7700
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Fax |
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Authorized Official
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Title or Position | PEER SPECIALIST
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Name | MR. JOSE ANTONIO OQUENDO
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Credential | CRPA
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Telephone | 347-805-1804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number |
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License Number State |
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