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General NPI Number Information
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NPI Number | 1427501345
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Entity Type | Organization
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Legal Business Name | A LIST LUXURY SVCS LLC
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Dates
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Enumeration Date | 07/27/2016
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Last Update Date | 08/18/2016
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Provider Practice Location Address
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Address Line | 70 E SUNRISE HWY SUITE 500
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City | VALLEY STREAM
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State | NY
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Zip | 11581-1240
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Country | US
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Telephone | 516-340-1256
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Fax |
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Provider Business Mailing Address
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Address Line | 70 E SUNRISE HWY SUITE 500
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City | VALLEY STREAM
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State | NY
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Zip | 11581-1240
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Country | US
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Telephone | 516-340-1256
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | STACEY CHARLES
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Credential |
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Telephone | 718-314-8794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number | B02919
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License Number State | NY
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