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General NPI Number Information
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NPI Number | 1932447836
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Entity Type | Organization
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Legal Business Name | THE SPA EXPECTATIONS CORPORATION
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Dates
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Enumeration Date | 01/28/2013
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Last Update Date | 01/28/2013
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Provider Practice Location Address
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Address Line | 21022 94TH AVE
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City | QUEENS VILLAGE
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State | NY
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Zip | 11428-1507
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Country | US
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Telephone | 646-206-9499
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Fax | 919-435-6855
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Provider Business Mailing Address
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Address Line | 1243 LEGACY GREENE AVE
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City | WAKE FOREST
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State | NC
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Zip | 27587-4386
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Country | US
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Telephone | 646-206-9499
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Fax | 919-435-6855
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Authorized Official
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Title or Position | CEO
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Name | MS. DENISE G HANNEY
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Credential |
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Telephone | 646-206-9499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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