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General NPI Number Information
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NPI Number | 1851804454
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Entity Type | Organization
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Legal Business Name | MURIEL'S HEART INC
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Dates
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Enumeration Date | 11/06/2017
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Last Update Date | 11/06/2017
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Provider Practice Location Address
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Address Line | 430 W MERRICK RD STE 10
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City | VALLEY STREAM
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State | NY
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Zip | 11580-5201
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Country | US
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Telephone | 718-285-0207
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Fax | 718-285-0207
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Provider Business Mailing Address
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Address Line | 28 MELROSE ST FL 1
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City | BROOKLYN
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State | NY
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Zip | 11206-6012
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Country | US
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Telephone | 516-280-9361
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Fax | 718-439-8568
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Authorized Official
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Title or Position | CLAIMS OFFICER
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Name | MS. SANDY RICHMOND
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Credential |
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Telephone | 516-280-9361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1544L001
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License Number State | NY
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