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General NPI Number Information
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NPI Number | 1497353379
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Entity Type | Organization
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Legal Business Name | NUIMAGE WELLNESS SERVICES INC
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Dates
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Enumeration Date | 10/13/2020
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Last Update Date | 10/13/2020
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Provider Practice Location Address
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Address Line | 320 WILSON ST STE 2
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2019
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Country | US
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Telephone | 162-634-2645
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Fax |
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Provider Business Mailing Address
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Address Line | 207 W CENTENNIAL AVE
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City | ROOSEVELT
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State | NY
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Zip | 11575-1928
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Country | US
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Telephone | 516-263-4264
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TIFFANY PRIESTER
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Credential | NP
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Telephone | 516-263-4264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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