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General NPI Number Information
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NPI Number | 1457824831
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Entity Type | Organization
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Legal Business Name | LOGISTICS HEALTH INC.
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Dates
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Enumeration Date | 01/08/2019
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Last Update Date | 01/08/2019
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Provider Practice Location Address
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Address Line | 156 WILLIAM ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10038-2609
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Country | US
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Telephone | 888-982-4748
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Fax |
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Provider Business Mailing Address
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Address Line | 328 FRONT ST S
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City | LA CROSSE
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State | WI
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Zip | 54601-4023
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Country | US
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Telephone | 877-498-2911
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Fax |
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Authorized Official
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Title or Position | SUPERVISOR - CLAIMS
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Name | REBECCA L HYLAND
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Credential |
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Telephone | 866-284-8788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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