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General NPI Number Information
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NPI Number | 1841007234
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Entity Type | Organization
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Legal Business Name | ELECTRICO DE AGUADA ORGANIZATION INC.
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 64 11TH AVE
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City | HUNTINGTON STATION
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State | NY
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Zip | 11746-2226
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Country | US
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Telephone | 929-491-9962
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Fax |
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Provider Business Mailing Address
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Address Line | 64 11TH AVE
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City | HUNTINGTON STATION
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State | NY
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Zip | 11746-2226
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Country | US
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Telephone | 929-491-9962
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HERIBERTO ECHEVARRIA JR.
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Credential |
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Telephone | 929-491-9962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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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Taxonomy #3
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QP2400X
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Taxonomy Name | Prison Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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