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General NPI Number Information
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NPI Number | 1609674852
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Entity Type | Organization
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Legal Business Name | FSL TRAINING LLC
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 22 W 19TH STREET COMPLETE BODY
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City | NEW YORK
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State | NY
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Zip | 10011
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Country | US
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Telephone | 718-683-6944
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Fax |
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Provider Business Mailing Address
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Address Line | 814 ROOSEVELT ST
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-3823
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Country | US
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Telephone | 718-683-6944
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DEON WALCOTT
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Credential |
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Telephone | 717-186-8369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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