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General NPI Number Information
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NPI Number | 1669816708
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Entity Type | Organization
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Legal Business Name | B'KAVOD/WITH RESPECT, INC.
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Dates
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Enumeration Date | 04/19/2013
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Last Update Date | 04/19/2013
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Provider Practice Location Address
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Address Line | 14730 73RD AVE
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City | FLUSHING
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State | NY
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Zip | 11367-2930
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Country | US
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Telephone | 718-300-0234
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Fax |
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Provider Business Mailing Address
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Address Line | 14121 70TH RD
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City | FLUSHING
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State | NY
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Zip | 11367-1936
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Country | US
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Telephone | 718-300-0234
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | REUVEN BECKER
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Credential | MBA, MS, ORD.
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Telephone | 718-300-0234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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