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General NPI Number Information
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NPI Number | 1629951801
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Entity Type | Organization
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Legal Business Name | SAFARI DEHANEY LLC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 407 BEACH 20TH ST
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-3647
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Country | US
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Telephone | 347-762-0262
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Fax |
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Provider Business Mailing Address
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Address Line | 13507 107TH AVE
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-3205
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Country | US
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Telephone | 646-737-2667
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. PEARLCHAVON DEHANEY
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Credential | NOTARY PUBLIC
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Telephone | 347-762-0262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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