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General NPI Number Information
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NPI Number | 1851937320
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Entity Type | Organization
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Legal Business Name | MED ASSIST CORP
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Dates
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Enumeration Date | 11/20/2019
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Last Update Date | 05/14/2023
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Provider Practice Location Address
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Address Line | 6480 ELLWELL CRES
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City | REGO PARK
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State | NY
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Zip | 11374-5031
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Country | US
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Telephone | 347-512-0235
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Fax |
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Provider Business Mailing Address
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Address Line | 6480 ELLWELL CRES
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City | REGO PARK
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State | NY
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Zip | 11374-5031
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. KELSEY CONTRERAS
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Credential |
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Telephone | 718-666-8750
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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 |
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License Number State |
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