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NPI 1831860527

NPI 1831860527 : CHECKMATE HEALTH STRATEGIES PA P.C. : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1831860527
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHECKMATE HEALTH STRATEGIES PA P.C. 
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Dates
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    Enumeration Date     |    09/23/2021
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    Last Update Date     |    09/23/2021
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Provider Practice Location Address
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    Address Line         |    149 DUPONT ST APT 1 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11222-1167
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    Country              |    US
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    Telephone            |    855-682-2455
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    Fax                  |    855-835-5857
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Provider Business Mailing Address
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    Address Line         |    815 ROUTE 82 UNIT 181 
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    City                 |    HOPEWELL JUNCTION
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    State                |    NY
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    Zip                  |    12533-7737
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    Country              |    US
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    Telephone            |    855-682-2455
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    Fax                  |    558-355-8578
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ELEONORA J WALCZAK 
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    Credential           |    PA
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    Telephone            |    855-682-2455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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