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General NPI Number Information
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NPI Number | 1508598020
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Entity Type | Organization
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Legal Business Name | SOCIAL IMPACT TECHNOLOGIES INC.
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Dates
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Enumeration Date | 06/24/2022
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Last Update Date | 08/25/2022
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Provider Practice Location Address
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Address Line | 130 W 16TH ST APT 65
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City | NEW YORK
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State | NY
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Zip | 10011-6268
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Country | US
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Telephone | 973-868-1768
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Fax |
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Provider Business Mailing Address
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Address Line | 130 W 16TH ST APT 65
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City | NEW YORK
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State | NY
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Zip | 10011-6268
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Country | US
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Telephone | 973-868-1768
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AARON DOADES
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Credential |
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Telephone | 973-868-1768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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