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General NPI Number Information
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NPI Number | 1578115226
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Entity Type | Organization
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Legal Business Name | DOMINICAN WOMEN'S DEVELOPMENT CENTER
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Dates
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Enumeration Date | 07/12/2019
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Last Update Date | 09/02/2019
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Provider Practice Location Address
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Address Line | 715 WEST 179TH STREET GROUND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10033
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Country | US
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Telephone | 212-740-4335
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Fax | 212-994-6065
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Provider Business Mailing Address
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Address Line | 519 W 189TH ST
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City | NEW YORK
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State | NY
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Zip | 10040-4647
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Country | US
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Telephone | 212-994-6060
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Fax | 212-994-6065
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ROSITA MERCEDES ROMERO
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Credential | MSW
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Telephone | 212-994-6060
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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 |
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License Number State |
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Taxonomy #2
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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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