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General NPI Number Information
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NPI Number | 1598306102
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Entity Type | Organization
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Legal Business Name | BESTCARE HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 10/04/2019
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Last Update Date | 01/24/2020
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Provider Practice Location Address
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Address Line | 22761 112TH RD
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City | QUEENS VILLAGE
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State | NY
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Zip | 11429-2706
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Country | US
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Telephone | 917-816-1698
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Fax |
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Provider Business Mailing Address
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Address Line | 58 FORD DR W
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City | MASSAPEQUA
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State | NY
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Zip | 11758-3725
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Country | US
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Telephone | 516-427-5187
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LUC FEDNARD
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Credential |
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Telephone | 516-426-5187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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