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General NPI Number Information
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NPI Number | 1083889828
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Entity Type | Organization
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Legal Business Name | A & J HOME CARE, INC.
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 06/09/2008
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Provider Practice Location Address
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Address Line | 359 E MAIN ST SUITE 3 A
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3028
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Country | US
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Telephone | 914-244-9570
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Fax | 914-242-0389
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Provider Business Mailing Address
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Address Line | 359 E MAIN ST SUITE 3 A
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3028
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Country | US
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Telephone | 914-244-9570
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Fax | 914-242-0389
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JUDITH N SIMON
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Credential |
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Telephone | 914-244-9570
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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 | 1416L001
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License Number State | NY
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