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General NPI Number Information
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NPI Number | 1912461773
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Entity Type | Organization
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Legal Business Name | CARE FOR THE HOMELESS
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Dates
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Enumeration Date | 01/25/2019
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Last Update Date | 01/28/2019
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Provider Practice Location Address
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Address Line | 427 W 52ND ST
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City | NEW YORK
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State | NY
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Zip | 10019-5605
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Country | US
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Telephone | 212-366-4459
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Fax | 212-366-4585
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Provider Business Mailing Address
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Address Line | 30 E 33RD ST FL 5
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City | NEW YORK
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State | NY
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Zip | 10016-5337
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Country | US
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Telephone | 212-366-4459
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Fax | 212-366-4585
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | SHAILJA BHATTA
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Credential | CPCS
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Telephone | 212-366-4459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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