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General NPI Number Information
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NPI Number | 1053585208
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Entity Type | Organization
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Legal Business Name | GURWIN HOME CARE AGENCY, INC.
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 5036 JERICHO TPKE STE 207
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City | COMMACK
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State | NY
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Zip | 11725-2812
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Country | US
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Telephone | 631-493-1282
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Fax | 631-387-2181
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Provider Business Mailing Address
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Address Line | 5036 JERICHO TPKE STE 207
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City | COMMACK
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State | NY
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Zip | 11725-2812
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Country | US
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Telephone | 631-493-1282
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Fax | 631-387-2181
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MR. HERBERT H. FRIEDMAN
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Credential |
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Telephone | 631-715-2600
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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 | 9849L002
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 9849L001
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License Number State | NY
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