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General NPI Number Information
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NPI Number | 1588608343
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Entity Type | Organization
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Legal Business Name | NET 30, INC.
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 02/19/2013
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Provider Practice Location Address
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Address Line | 75 MAIDEN LN 7TH FL ATTN KELVIN NG
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City | NEW YORK
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State | NY
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Zip | 10038-4810
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Country | US
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Telephone | 212-598-9400
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Fax | 212-405-2390
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Provider Business Mailing Address
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Address Line | 75 MAIDEN LN 7TH FL ATTN KELVIN NG
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City | NEW YORK
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State | NY
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Zip | 10038-4810
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Country | US
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Telephone | 212-598-9400
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Fax | 212-405-2390
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Authorized Official
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Title or Position | CEO
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Name | CAROLINE M. BARRETT
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Credential |
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Telephone | 212-228-1994
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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 | HHA 299992100
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License Number State | FL
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