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General NPI Number Information
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NPI Number | 1033327614
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Entity Type | Organization
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Legal Business Name | PERSONAL TOUCH HOME CARE OF LONG ISLAND, INC.
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 02/28/2012
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Provider Practice Location Address
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Address Line | 60 HEMPSTEAD AVE
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2148
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Country | US
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Telephone | 516-227-3400
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Fax | 516-227-3411
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Provider Business Mailing Address
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Address Line | 22215 NORTHERN BLVD
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City | BAYSIDE
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State | NY
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Zip | 11361-3603
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Country | US
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Telephone | 718-468-4747
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Fax | 718-264-5834
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Authorized Official
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Title or Position | CONTRACT MANAGER
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Name | LORIGAY LASKIN
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Credential |
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Telephone | 718-468-4747
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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 | 0130L001
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License Number State | NY
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