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General NPI Number Information
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NPI Number | 1588186530
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Entity Type | Organization
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Legal Business Name | CATHOLIC GUARDIAN SERVICES
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 07/12/2017
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Provider Practice Location Address
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Address Line | 1990 WESTCHESTER AVE
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City | BRONX
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State | NY
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Zip | 10462-4553
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Country | US
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Telephone | 718-828-0300
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Fax | 718-838-0300
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Provider Business Mailing Address
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Address Line | 1011 1ST AVE FL 10
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City | NEW YORK
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State | NY
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Zip | 10022-4112
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Country | US
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Telephone | 212-371-1000
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Fax | 212-371-1512
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Authorized Official
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Title or Position | FISCAL ACCOUNTANT
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Name | MR. MARIO ESPINO
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Credential | ACCOUNTANT
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Telephone | 212-371-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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