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General NPI Number Information
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NPI Number | 1770868226
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Entity Type | Organization
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Legal Business Name | AMIDA CARE, INC.
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Dates
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Enumeration Date | 10/17/2011
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Last Update Date | 10/17/2011
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Provider Practice Location Address
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Address Line | 248 W 35TH ST 7TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10001-2505
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Country | US
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Telephone | 646-545-2580
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Fax | 646-786-1801
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Provider Business Mailing Address
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Address Line | 248 W 35TH ST 7TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10001-2505
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Country | US
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Telephone | 646-545-2580
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Fax | 646-786-1801
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. JAMES WILLIAM CRAMER
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Credential |
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Telephone | 646-545-2580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 02191582
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License Number State | NY
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