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General NPI Number Information
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NPI Number | 1619848231
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Entity Type | Organization
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Legal Business Name | LATNEY LATNEY INC BLACK AMBITIONS CARE
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 09/21/2025
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Provider Practice Location Address
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Address Line | 311 W 141ST ST APT 3A
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City | NEW YORK
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State | NY
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Zip | 10030-1589
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Country | US
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Telephone | 917-475-1518
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Fax |
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Provider Business Mailing Address
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Address Line | 311 W 141ST ST APT 3A
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City | NEW YORK
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State | NY
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Zip | 10030-1589
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | QUAMAINE LATNEY
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Credential |
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Telephone | 917-476-1518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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