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General NPI Number Information
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NPI Number | 1992247282
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Entity Type | Organization
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Legal Business Name | TRELAWNY CAR SERVICE INC.
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Dates
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Enumeration Date | 11/17/2016
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Last Update Date | 11/17/2016
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Provider Practice Location Address
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Address Line | 690 E 233RD ST
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City | BRONX
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State | NY
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Zip | 10466-2802
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Country | US
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Telephone | 347-207-2271
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Fax |
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Provider Business Mailing Address
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Address Line | 690 E 233RD ST
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City | BRONX
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State | NY
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Zip | 10466-2802
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Country | US
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Telephone | 347-207-2271
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS SANDRA FAIRCLOUGH
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Credential |
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Telephone | 347-207-2271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | B02505
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License Number State | NY
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