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General NPI Number Information
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NPI Number | 1013190305
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Entity Type | Organization
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Legal Business Name | JOS-EL CARE INC.
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 12/10/2007
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Provider Practice Location Address
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Address Line | 13 CLEVELAND ST
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City | VALLEY STREAM
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State | NY
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Zip | 11580-6003
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Country | US
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Telephone | 516-823-0739
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Fax |
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Provider Business Mailing Address
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Address Line | 251 E 29TH ST APT 6G
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City | BROOKLYN
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State | NY
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Zip | 11226-6372
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Country | US
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Telephone | 518-488-0406
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Fax | 347-529-7339
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Authorized Official
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Title or Position | LPN
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Name | MS. MARIE LUCIENNE CASSEUS
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Credential |
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Telephone | 518-488-0406
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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 | 184014
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License Number State | NY
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