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General NPI Number Information
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NPI Number | 1003847740
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Entity Type | Organization
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Legal Business Name | ACCREDITED CARE, INC.
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 106 W 3RD ST, STE 705
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City | JAMESTOWN
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State | NY
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Zip | 14701-5121
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Country | US
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Telephone | 716-484-7101
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Fax |
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Provider Business Mailing Address
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Address Line | 77 5TH AVE APT 14A
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City | NEW YORK
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State | NY
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Zip | 10003-3055
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Country | US
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Telephone | 212-989-5306
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FREDRICK RICHARD PRESS
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Credential |
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Telephone | 212-989-5306
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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 | 9112L001
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License Number State | NY
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