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General NPI Number Information
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NPI Number | 1528116811
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Entity Type | Organization
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Legal Business Name | COMPLETE MEDICAL HEALTHCARE, PC
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 1 WHITTIER AVE
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-4208
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Country | US
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Telephone | 845-514-9432
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Fax |
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Provider Business Mailing Address
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Address Line | 1 WHITTIER AVE
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-4208
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Country | US
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Telephone | 845-514-9432
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BERNADETTE AGARD-HENRIQUES
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Credential | MD
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Telephone | 845-514-9432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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