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General NPI Number Information
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NPI Number | 1801248943
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Entity Type | Organization
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Legal Business Name | MEMORY CHECK PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | 155 PINELAWN RD SUITE 120
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City | MELVILLE
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State | NY
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Zip | 11747-3245
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Country | US
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Telephone | 800-275-3243
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Fax | 631-393-2688
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Provider Business Mailing Address
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Address Line | 155 PINELAWN RD SUITE 120
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City | MELVILLE
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State | NY
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Zip | 11747-3245
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Country | US
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Telephone | 800-275-3243
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Fax | 631-393-2688
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Authorized Official
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Title or Position | ACCOUNTS RECEIVABLE
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Name | DONNEQWA MCCLURE
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Credential |
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Telephone | 800-275-3243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State | CA
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