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General NPI Number Information
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NPI Number | 1033298948
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Entity Type | Organization
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Legal Business Name | FAMILY HOME HEALTH CARE INC
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 09/16/2015
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Provider Practice Location Address
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Address Line | 65 S BROADWAY
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City | TARRYTOWN
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State | NY
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Zip | 10591-4012
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Country | US
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Telephone | 914-631-7200
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Fax | 914-631-2382
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Provider Business Mailing Address
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Address Line | 65 S BROADWAY
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City | TARRYTOWN
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State | NY
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Zip | 10591-4012
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Country | US
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Telephone | 914-631-7200
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Fax | 914-631-2382
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. SHARON NIIMAN
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Credential | RN
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Telephone | 914-941-1710
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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 | 9549L001
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License Number State | NY
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