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General NPI Number Information
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NPI Number | 1407492499
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Entity Type | Organization
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Legal Business Name | FAMILY RESIDENCES & ESSENTIAL ENTERPRISES, INC
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Dates
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Enumeration Date | 11/25/2019
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Last Update Date | 11/25/2019
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Provider Practice Location Address
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Address Line | 215 ATLANTIC AVE
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City | HEMPSTEAD
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State | NY
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Zip | 11550-1137
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Country | US
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Telephone | 516-870-1600
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Fax | 516-870-1658
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Provider Business Mailing Address
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Address Line | 191 BETHPAGE SWEET HOLLOW ROAD ATTN: ACCOUNTING
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City | OLD BETHPAGE
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State | NY
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Zip | 11804-1314
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Country | US
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Telephone | 516-870-1600
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Fax | 516-870-1658
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Authorized Official
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Title or Position | CEO
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Name | ROBERT BUDD
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Credential |
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Telephone | 516-870-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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