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General NPI Number Information
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NPI Number | 1073181640
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Entity Type | Organization
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Legal Business Name | ICARE ADULT HOME SERVICES
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Dates
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Enumeration Date | 06/11/2021
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 136 E. SERVICE ROAD SUITE 301
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City | BINGHAMTON
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State | NY
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Zip | 13901
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Country | US
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Telephone | 607-232-0733
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Fax |
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Provider Business Mailing Address
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Address Line | 511 MAIN STREET # 156
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City | CHENANGO BRIDGE
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State | NY
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Zip | 13745-0156
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATION
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Name | OLATUNDE OSIBOTE
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Credential |
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Telephone | 607-232-0733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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