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General NPI Number Information
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NPI Number | 1154002301
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Entity Type | Organization
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Legal Business Name | LIFE QUALITY HOME HEALTHCARE INC
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Dates
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Enumeration Date | 07/31/2023
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 50 HIGHWAY 9 N. SUITE 208
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City | MORGANVILLE
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State | NJ
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Zip | 07751
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Country | US
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Telephone | 646-785-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 155 BAY 28TH ST APT 3B
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City | BROOKLYN
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State | NY
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Zip | 11214-5088
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Country | US
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Telephone | 718-808-3006
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Fax |
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Authorized Official
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Title or Position | CFO, EXECUTIVE
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Name | JASON GAVRILOV
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Credential |
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Telephone | 646-785-4444
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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 |
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License Number State |
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