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General NPI Number Information
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NPI Number | 1114491867
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Entity Type | Organization
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Legal Business Name | CHARLES CRAIG HOME CARE INC
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Dates
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Enumeration Date | 01/16/2019
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Last Update Date | 01/16/2019
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Provider Practice Location Address
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Address Line | 63 YOUNGS HILL RD
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City | HUNTINGTON
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State | NY
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Zip | 11743-2154
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Country | US
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Telephone | 516-448-8631
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Fax |
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Provider Business Mailing Address
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Address Line | 63 YOUNGS HILL RD
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City | HUNTINGTON
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State | NY
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Zip | 11743-2154
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Country | US
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Telephone | 516-448-8631
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | MR. CHARLES J CRAIG JR.
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Credential |
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Telephone | 516-448-8631
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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 |
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License Number State |
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