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General NPI Number Information
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NPI Number | 1932323748
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Entity Type | Organization
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Legal Business Name | IRIS HOUSE, INC.
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 09/02/2015
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Provider Practice Location Address
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Address Line | 2348 ADAM CLAYTON POWELL JR BLVD
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City | NEW YORK
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State | NY
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Zip | 10030-2301
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Country | US
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Telephone | 646-548-0100
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Fax | 646-548-0200
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Provider Business Mailing Address
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Address Line | 2348 ADAM CLAYTON POWELL JR BLVD
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City | NEW YORK
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State | NY
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Zip | 10030-2301
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Country | US
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Telephone | 646-548-0100
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Fax | 646-548-0200
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Authorized Official
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Title or Position | COMPTROLLER
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Name | MS. LAWRENCE CARTER
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Credential |
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Telephone | 646-548-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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