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General NPI Number Information
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NPI Number | 1922872829
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Entity Type | Organization
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Legal Business Name | HEALDI LLC
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Dates
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Enumeration Date | 11/10/2023
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 1178 BROADWAY FL 3
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City | NEW YORK
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State | NY
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Zip | 10001-5666
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Country | US
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Telephone | 212-946-3797
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Fax |
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Provider Business Mailing Address
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Address Line | 1178 BROADWAY FL 3
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City | NEW YORK
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State | NY
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Zip | 10001-5666
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Country | US
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Telephone | 646-335-2223
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. MARICELI COMELLAS
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Credential |
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Telephone | 212-946-3797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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