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General NPI Number Information
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NPI Number | 1801301635
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Entity Type | Organization
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Legal Business Name | VIMINIC CORP
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Dates
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Enumeration Date | 12/01/2017
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Last Update Date | 10/06/2021
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Provider Practice Location Address
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Address Line | 1815 CORNAGA AVE
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-4305
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Country | US
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Telephone | 718-757-1640
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Fax |
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Provider Business Mailing Address
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Address Line | 1815 CORNAGA AVE
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-4305
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Country | US
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Telephone | 718-757-1640
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. OLGA SHNEYDER
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Credential | RN
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Telephone | 718-664-0065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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