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NPI 1013874502

NPI 1013874502 : SHIELDING ARMS HOME LLC : SPRING VALLEY, NY

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General NPI Number Information
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    NPI Number           |    1013874502
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    Entity Type          |    Organization 
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    Legal Business Name  |    SHIELDING ARMS HOME LLC 
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Dates
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    Enumeration Date     |    01/06/2026
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    Last Update Date     |    01/06/2026
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Provider Practice Location Address
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    Address Line         |    22 OXFORD CT 
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    City                 |    SPRING VALLEY
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    State                |    NY
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    Zip                  |    10977-4527
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    Country              |    US
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    Telephone            |    917-232-0315
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    56 CONNECTICUT AVE 
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    City                 |    STAMFORD
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    State                |    CT
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    Zip                  |    06902-2103
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    Country              |    US
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    Telephone            |    917-232-0315
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRINCIPAL
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    Name                 |     DICKSON KANKAM APPAU 
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    Credential           |    
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    Telephone            |    917-232-0315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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