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General NPI Number Information
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NPI Number | 1891306791
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Entity Type | Organization
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Legal Business Name | AFRICAN SERVICES COMMITTEE, INC.
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Dates
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Enumeration Date | 08/13/2020
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 429 W 127TH ST
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City | NEW YORK
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State | NY
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Zip | 10027-2544
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Country | US
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Telephone | 212-222-3882
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Fax | 212-222-3882
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Provider Business Mailing Address
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Address Line | 429 W 127TH ST
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City | NEW YORK
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State | NY
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Zip | 10027-2544
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Country | US
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Telephone | 212-222-3882
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Fax | 212-222-3882
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Authorized Official
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Title or Position | CO-EXECUTIVE DIRECTOR
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Name | MS. KIM ERICA NICHOLS
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Credential | MPH, SCM
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Telephone | 917-415-3505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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