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General NPI Number Information
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NPI Number | 1083998470
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Entity Type | Organization
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Legal Business Name | RINCY KURIAN
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Dates
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Enumeration Date | 10/04/2011
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Last Update Date | 10/04/2011
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Provider Practice Location Address
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Address Line | 104 PURDY AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-4040
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Country | US
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Telephone | 718-698-8011
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Fax |
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Provider Business Mailing Address
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Address Line | 104 PURDY AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-4040
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Country | US
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Telephone | 718-698-8011
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Fax |
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Authorized Official
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Title or Position | NONE
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Name | RINCY KURIAN
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Credential |
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Telephone | 718-698-8011
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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 | 643674-4
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License Number State | NY
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