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General NPI Number Information
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NPI Number | 1053852038
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Entity Type | Organization
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Legal Business Name | BENA HOME CARE AGENCY INC
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Dates
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Enumeration Date | 03/10/2017
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Last Update Date | 03/10/2017
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Provider Practice Location Address
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Address Line | 12016 LIBERTY AVE FL 2 SOUTH RICHMOND HILL
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-2118
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Country | US
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Telephone | 718-323-3053
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Fax | 718-323-3052
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Provider Business Mailing Address
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Address Line | 12016 LIBERTY AVE FL 2 SOUTH RICHMOND HILL
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-2118
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Country | US
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Telephone | 718-323-3053
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Fax | 718-323-3052
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Authorized Official
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Title or Position | PRES/CEO
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Name | MRS. BINROWTIE P ANGELINI
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Credential |
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Telephone | 718-323-3053
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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 | 2429L001
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License Number State | NY
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