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NPI 1952614448

NPI 1952614448 : EVERO CORPORATION : WILLISTON PARK, NY

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General NPI Number Information
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    NPI Number           |    1952614448
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    Entity Type          |    Organization 
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    Legal Business Name  |    EVERO CORPORATION 
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Dates
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    Enumeration Date     |    07/26/2010
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    181 HILLSIDE AVE 2ND FLOOR
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    City                 |    WILLISTON PARK
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    State                |    NY
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    Zip                  |    11596-1746
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    Country              |    US
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    Telephone            |    516-747-4200
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    Fax                  |    516-747-8383
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Provider Business Mailing Address
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    Address Line         |    181 HILLSIDE AVE 2ND FLOOR
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    City                 |    WILLISTON PARK
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    State                |    NY
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    Zip                  |    11596-1746
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    Country              |    US
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    Telephone            |    516-747-4200
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    Fax                  |    516-747-8383
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. CHRISTOS  MORRIS 
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    Credential           |    
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    Telephone            |    516-750-4483
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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 |    NY
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