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General NPI Number Information
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NPI Number | 1629220108
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Entity Type | Organization
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Legal Business Name | PROJECT RENEWAL INC
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Dates
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Enumeration Date | 10/16/2008
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 8 E 3RD ST
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City | NEW YORK
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State | NY
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Zip | 10003-8908
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Country | US
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Telephone | 212-620-0340
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Fax | 212-633-1410
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Provider Business Mailing Address
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Address Line | 200 VARICK ST
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City | NEW YORK
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State | NY
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Zip | 10014-4810
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Country | US
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Telephone | 212-620-0340
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Fax | 212-633-1410
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Authorized Official
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Title or Position | DATABASE ADMINISTRATOR
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Name | LECK DZIE
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Credential |
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Telephone | 212-620-0340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 7002161R
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License Number State | NY
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