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General NPI Number Information
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NPI Number | 1538073739
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Entity Type | Organization
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Legal Business Name | INTRODUCTION BEFORE YOU BEGIN, MAKE SURE YOU HAVE THE FOLLOWING INFORMATION: THIS INFORMATION WILL B
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 9405 35TH AVE APT D10
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-6079
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Country | US
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Telephone | 917-832-0546
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Fax |
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Provider Business Mailing Address
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Address Line | 9405 35TH AVE APT D10
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-6079
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Country | US
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Telephone | 917-832-0546
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | CESAR AMADO MARTE RODRIGUEZ
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Credential |
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Telephone | 917-832-0546
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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 | NULL
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