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General NPI Number Information
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NPI Number | 1013061449
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Entity Type | Organization
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Legal Business Name | BARKSDALE HEALTH CARE SERVICE INC.
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 327 FIFTH AVE
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City | PELHAM
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State | NY
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Zip | 10803-1203
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Country | US
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Telephone | 914-738-5600
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Fax | 914-738-0678
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Provider Business Mailing Address
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Address Line | 327 FIFTH AVE
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City | PELHAM
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State | NY
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Zip | 10803-1203
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Country | US
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Telephone | 914-738-5600
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Fax | 914-738-0678
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Authorized Official
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Title or Position | CEO
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Name | MRS. ROSA KITTRELL BARKSDALE
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Credential |
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Telephone | 914-738-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 0011L001
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License Number State | NY
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