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General NPI Number Information
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NPI Number | 1427914217
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Entity Type | Organization
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Legal Business Name | EQUITABLE HEALTH CORPORATION
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Dates
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Enumeration Date | 12/24/2025
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 626 RXR PLZ FL 6TH
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City | UNIONDALE
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State | NY
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Zip | 11556-3829
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Country | US
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Telephone | 801-949-4021
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Fax |
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Provider Business Mailing Address
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Address Line | 626 RXR PLZ FL 6TH
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City | UNIONDALE
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State | NY
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Zip | 11556-3829
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Country | US
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Telephone | 801-949-4021
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SUZZI WILLIAMS
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Credential |
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Telephone | 801-949-4021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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