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General NPI Number Information
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NPI Number | 1114095684
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Entity Type | Organization
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Legal Business Name | FHC HOME CARE INC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 25 4TH AVE
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City | BAY SHORE
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State | NY
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Zip | 11706-7948
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Country | US
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Telephone | 631-968-1300
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Fax | 631-968-1339
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Provider Business Mailing Address
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Address Line | 25 4TH AVE
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City | BAY SHORE
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State | NY
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Zip | 11706-7948
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Country | US
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Telephone | 631-968-1300
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Fax | 631-968-1339
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. PATRICIA HARLEY
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Credential |
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Telephone | 631-968-1300
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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 | 9562L001
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License Number State | NY
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