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General NPI Number Information
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NPI Number | 1750684791
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE RESOURCES
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Dates
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Enumeration Date | 12/14/2010
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 1663 E 17TH ST
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City | BROOKLYN
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State | NY
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Zip | 11229-1259
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Country | US
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Telephone | 718-998-0200
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Fax | 718-339-4172
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Provider Business Mailing Address
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Address Line | 8420 153RD AVE APT 4K
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City | HOWARD BEACH
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State | NY
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Zip | 11414-1944
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Country | US
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Telephone | 347-561-6731
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Fax | 347-561-6731
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Authorized Official
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Title or Position | RN
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Name | MISS MARYNICOLE DECRISTOFORO
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Credential |
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Telephone | 347-561-6731
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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 | 560274
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License Number State | NY
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