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General NPI Number Information
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NPI Number | 1003387325
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Entity Type | Organization
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Legal Business Name | S & A UNIFIED HOME CARE, INC.
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Dates
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Enumeration Date | 12/14/2018
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Last Update Date | 12/14/2018
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Provider Practice Location Address
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Address Line | 2036 MCDONALD AVE
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City | BROOKLYN
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State | NY
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Zip | 11223-2819
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Country | US
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Telephone | 917-623-1913
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Fax |
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Provider Business Mailing Address
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Address Line | 2036 MCDONALD AVE
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City | BROOKLYN
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State | NY
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Zip | 11223-2819
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Country | US
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Telephone | 917-623-1913
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE MANAGER
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Name | RUTH SHAMAEV
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Credential |
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Telephone | 718-980-6100
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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 |
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License Number State |
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