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General NPI Number Information
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NPI Number | 1386006005
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Entity Type | Organization
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Legal Business Name | ACUTE CARE EXPERTS OF NEW YORK
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | 410 E JERICHO TPKE
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City | MINEOLA
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State | NY
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Zip | 11501-2112
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Country | US
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Telephone | 631-236-9600
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Fax | 516-280-8181
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Provider Business Mailing Address
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Address Line | 410 E JERICHO TPKE
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City | MINEOLA
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State | NY
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Zip | 11501-2112
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Country | US
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Telephone | 631-236-9600
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Fax | 516-280-8181
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | FREDRICK LUCICH
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Credential | RN, CRNI
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Telephone | 973-202-5017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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