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General NPI Number Information
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NPI Number | 1467529529
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Entity Type | Organization
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Legal Business Name | PUBLIC HEALTH SOLUTIONS
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 295 FLATBUSH AVENUE EXT FL 3
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City | BROOKLYN
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State | NY
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Zip | 11201-3001
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Country | US
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Telephone | 718-522-1144
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Fax | 646-619-6696
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Provider Business Mailing Address
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Address Line | 40 WORTH ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10013-2904
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Country | US
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Telephone | 646-619-6400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MS. LISA DAVIS
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Credential |
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Telephone | 646-619-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 7002296R
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License Number State | NY
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