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General NPI Number Information
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NPI Number | 1700342433
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Entity Type | Organization
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Legal Business Name | RELIABLE CARE CONSULTING LLC
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Dates
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Enumeration Date | 02/19/2019
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 1858 CORNAGA AVE, 2ND FL.
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691
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Country | US
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Telephone | 845-570-3821
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Fax | 718-764-4338
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Provider Business Mailing Address
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Address Line | 634 VANDAM ST.
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City | VALLEY STREAM
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State | NY
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Zip | 11581
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Country | US
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Telephone | 347-668-8907
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Fax | 718-764-4338
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Authorized Official
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Title or Position | CEO
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Name | MR. YAAKOV JACOBOVITCH
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Credential |
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Telephone | 845-570-3821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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