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General NPI Number Information
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NPI Number | 1386188522
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Entity Type | Organization
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Legal Business Name | POISED ONDEMAND
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Dates
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Enumeration Date | 12/07/2016
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 41 BOND STREET APT 3W
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City | HARTFORD
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State | CT
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Zip | 06114
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Country | US
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Telephone | 914-486-2907
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Fax |
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Provider Business Mailing Address
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Address Line | 649 BRONX RIVER RD
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City | YONKERS
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State | NY
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Zip | 10704-1700
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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 | DIRECTOR
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Name | RAQUEL JOHNSON
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Credential |
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Telephone | 914-486-2907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 1154710275
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License Number State |
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