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General NPI Number Information
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NPI Number | 1548762628
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Entity Type | Organization
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Legal Business Name | SGKN ASSOCIATES, LLC
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Dates
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Enumeration Date | 03/05/2018
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Last Update Date | 03/05/2018
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Provider Practice Location Address
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Address Line | 244 MADISON AVE STE 4670
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City | NEW YORK
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State | NY
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Zip | 10016-2817
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Country | US
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Telephone | 800-711-5121
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Fax | 800-543-8922
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Provider Business Mailing Address
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Address Line | 244 MADISON AVE STE 4670
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City | NEW YORK
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State | NY
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Zip | 10016-2817
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Country | US
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Telephone | 800-711-5121
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Fax | 800-543-8922
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | SHENEKIA D LOUD
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Credential | FSA
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Telephone | 800-711-5121
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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 | 2064344
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License Number State | NY
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