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General NPI Number Information
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NPI Number | 1164645586
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Entity Type | Organization
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Legal Business Name | ALICE KRAWCYK, INC.
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 04/08/2015
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Provider Practice Location Address
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Address Line | 25 MYRTLE AVE.
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City | MIDDLETOWN
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State | NY
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Zip | 10940
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Country | US
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Telephone | 845-342-4787
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Fax | 845-341-1023
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Provider Business Mailing Address
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Address Line | 25 MYRTLE AVE.
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City | MIDDLETOWN
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State | NY
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Zip | 10940
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Country | US
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Telephone | 845-342-4787
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Fax | 845-341-1023
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALICE DARLENE KRAWCYK
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Credential |
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Telephone | 845-342-4787
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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 | 0652L001
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0652I001
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License Number State | NY
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