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General NPI Number Information
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NPI Number | 1124186747
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Entity Type | Organization
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Legal Business Name | RECCO HOME CARE SERVICE, INC.
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 524 HICKSVILLE RD
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City | MASSAPEQUA
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State | NY
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Zip | 11758-1204
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Country | US
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Telephone | 516-798-6688
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Fax | 516-798-6740
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Provider Business Mailing Address
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Address Line | 524 HICKSVILLE RD
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City | MASSAPEQUA
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State | NY
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Zip | 11758-1204
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Country | US
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Telephone | 516-798-6688
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Fax | 516-798-6740
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. NORMA E RECCO
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Credential |
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Telephone | 516-798-6688
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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 | 0186L001
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License Number State | NY
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