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General NPI Number Information
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NPI Number | 1740869551
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Entity Type | Organization
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Legal Business Name | HUMANITAS IN-HOME HEALTHCARE OF RIVERDALE, NURSE PRACTITIONER IN FAMIL
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | 5683 RIVERDALE AVE
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City | BRONX
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State | NY
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Zip | 10471-2127
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Country | US
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Telephone | 347-607-4319
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Fax |
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Provider Business Mailing Address
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Address Line | 410 W 260TH ST
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City | BRONX
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State | NY
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Zip | 10471-1820
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Country | US
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Telephone | 347-607-4319
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER IN FAMILY HEALTH
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Name | MS. EULALIA J D'SOUZA
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Credential | DNP
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Telephone | 347-607-4319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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