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General NPI Number Information
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NPI Number | 1124706197
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Entity Type | Individual
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Provider Name | YVONNE B LLEWELLYN HOME HEALTH AIDE
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Gender | Female
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 7136 110TH ST APT 1L
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City | FOREST HILLS
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State | NY
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Zip | 11375-4860
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Country | US
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Telephone | 718-544-7700
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Fax | 718-793-2942
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Provider Business Mailing Address
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Address Line | 17406 110TH AVE # 1A
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City | JAMAICA
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State | NY
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Zip | 11433-3456
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Country | US
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Telephone | 646-399-4572
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 01171244
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License Number State | NY
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