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General NPI Number Information
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NPI Number | 1770332629
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Entity Type | Organization
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Legal Business Name | 22ND CENTURY TECHNOLOGIES, INC.
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Dates
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Enumeration Date | 05/14/2024
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 1300 VETERANS RD
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City | WARRENSBURG
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State | MO
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Zip | 64093-8294
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Country | US
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Telephone | 908-765-0004
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Fax |
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Provider Business Mailing Address
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Address Line | 8251 GREENSBORO DR STE 900
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City | MC LEAN
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State | VA
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Zip | 22102-4938
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Country | US
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Telephone | 908-765-0004
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Fax |
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Authorized Official
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Title or Position | CONTRACTS MANAGER
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Name | ISHA SHARMA
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Credential |
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Telephone | 908-765-0004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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