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General NPI Number Information
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NPI Number | 1679750178
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Entity Type | Organization
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Legal Business Name | HEALTH NET INSURANCE OF NEW YORK, INC. PFFS-NY
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Dates
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Enumeration Date | 01/28/2008
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | ONE FAR MILL CROSSING MAIL STOP: CT-900-04-57
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City | SHELTON
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State | CT
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Zip | 06484-6121
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Country | US
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Telephone | 800-848-4747
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Fax | 818-676-7754
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Provider Business Mailing Address
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Address Line | 150 E 42ND ST FL 26
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City | NEW YORK
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State | NY
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Zip | 10017-5634
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Country | US
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Telephone | 800-848-4747
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Fax | 818-676-7754
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Authorized Official
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Title or Position | V. P.,, SECRETARY AND PLAN COUNSEL
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Name | MR. JOSEPH J. KEMPF JR.
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Credential |
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Telephone | 203-225-8576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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