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General NPI Number Information
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NPI Number | 1093845307
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Entity Type | Organization
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Legal Business Name | PRIMARY HOME CARE SERVICES,INC.
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 18712 HILLSIDE AVE FIRST FLOOR
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City | JAMAICA
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State | NY
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Zip | 11432-3216
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Country | US
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Telephone | 718-464-3900
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Fax | 718-740-5437
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Provider Business Mailing Address
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Address Line | 18712 HILLSIDE AVE FIRST FLOOR
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City | JAMAICA
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State | NY
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Zip | 11432-3216
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Country | US
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Telephone | 718-464-3900
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Fax | 718-740-5437
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Authorized Official
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Title or Position | DIRECTOR OF PATIENT SERVICES
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Name | MS. ADELINA PASCUA GARABELIS
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Credential | R.N.
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Telephone | 718-464-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 234738-1
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License Number State | NY
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