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General NPI Number Information
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NPI Number | 1003368861
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Entity Type | Organization
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Legal Business Name | ANR HOMECARE SERVICES, LLC
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Dates
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Enumeration Date | 10/27/2016
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Last Update Date | 10/27/2016
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Provider Practice Location Address
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Address Line | 217-02 JAMAICA AVENUE 2ND FL
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City | QUEENS VILLAGE
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State | NY
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Zip | 11428
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Country | US
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Telephone | 718-285-9993
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Fax | 866-621-5989
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Provider Business Mailing Address
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Address Line | 217-02 JAMAICA AVENUE 2ND FL
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City | QUEENS VILLAGE
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State | NY
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Zip | 11428
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Country | US
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Telephone | 718-285-9993
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Fax | 866-621-5989
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Authorized Official
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Title or Position | DPS/ADMINISTRATOR
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Name | MS. ALECIA CAMPBELL GRANT
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Credential | RN
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Telephone | 718-285-9993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 2400L001
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License Number State | NY
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