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General NPI Number Information
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NPI Number | 1013573476
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Entity Type | Organization
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Legal Business Name | SPLENDID HOME CARE, LLC
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Dates
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Enumeration Date | 05/11/2019
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Last Update Date | 05/11/2019
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Provider Practice Location Address
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Address Line | 36 MAPLE ST
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City | WHITE PLAINS
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State | NY
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Zip | 10603-2623
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Country | US
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Telephone | 914-217-0225
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Fax |
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Provider Business Mailing Address
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Address Line | 36 MAPLE ST
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City | WHITE PLAINS
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State | NY
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Zip | 10603-2623
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. IVAN BARTOLO
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Credential |
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Telephone | 914-217-0225
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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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