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General NPI Number Information
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NPI Number | 1710570320
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Entity Type | Organization
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Legal Business Name | ATLAS HEALTH CARE 1
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Dates
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Enumeration Date | 02/15/2021
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Last Update Date | 02/15/2021
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Provider Practice Location Address
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Address Line | 189 ROUTE 100
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City | SOMERS
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State | NY
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Zip | 10589-2811
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Country | US
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Telephone | 925-565-8498
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Fax |
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Provider Business Mailing Address
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Address Line | 377 CHELSEA ST
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City | PARAMUS
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State | NJ
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Zip | 07652-3431
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Country | US
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Telephone | 925-565-8498
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Fax |
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Authorized Official
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Title or Position | NP
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Name | MEHDI POURIA
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Credential |
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Telephone | 925-565-8498
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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