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General NPI Number Information
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NPI Number | 1174061741
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Entity Type | Organization
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Legal Business Name | ASSURED HOME COMPANION CARE INC
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Dates
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Enumeration Date | 02/03/2017
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Last Update Date | 06/29/2018
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Provider Practice Location Address
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Address Line | 13519 221ST ST
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City | LAURELTON
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State | NY
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Zip | 11413
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Country | US
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Telephone | 347-299-1057
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Fax |
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Provider Business Mailing Address
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Address Line | 13519 221ST ST
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City | LAURELTON
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State | NY
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Zip | 11413-2030
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WILMA ROWE
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Credential |
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Telephone | 347-299-1057
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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
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care
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License Number |
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License Number State |
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