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General NPI Number Information
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NPI Number | 1518338847
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Entity Type | Organization
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Legal Business Name | HEALTHY CARE C.D.P LLC
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Dates
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Enumeration Date | 10/13/2015
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Last Update Date | 12/27/2016
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Provider Practice Location Address
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Address Line | 401 BROADWAY SUITE 612
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City | NEW YORK
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State | NY
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Zip | 10013-3005
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Country | US
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Telephone | 212-235-5151
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Fax | 212-235-5252
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Provider Business Mailing Address
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Address Line | 401 BROADWAY SUITE 612
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City | NEW YORK
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State | NY
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Zip | 10013-3005
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Country | US
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Telephone | 212-235-5151
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Fax | 212-235-5252
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Authorized Official
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Title or Position | CFO
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Name | MR. J NAFTULE
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Credential |
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Telephone | 212-235-5151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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