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General NPI Number Information
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NPI Number | 1710109947
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Entity Type | Organization
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Legal Business Name | AIDS SERVICE CENTER OF LOWER MANHATTAN, INC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 41 E 11TH ST 5TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10003-4602
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Country | US
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Telephone | 212-645-0875
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Fax |
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Provider Business Mailing Address
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Address Line | 41 E 11TH ST 5TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10003-4602
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Country | US
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Telephone | 212-645-0875
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR-CEO
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Name | MS. SHAREN I DUKE
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Credential |
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Telephone | 212-645-0875
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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 | NY
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