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General NPI Number Information
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NPI Number | 1184140113
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Entity Type | Organization
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Legal Business Name | IGBANS HOME CARE SERVICES
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Dates
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Enumeration Date | 08/22/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 21834 139 AVENUE
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City | SPRINGFIELD GARDENS
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State | NY
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Zip | 11413
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Country | US
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Telephone | 718-238-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 21834 139TH AVE
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City | SPRINGFIELD GARDENS
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State | NY
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Zip | 11413-2652
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Country | US
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Telephone | 718-238-9300
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NELSON IGBANUGO
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Credential |
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Telephone | 917-771-5292
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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 |
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License Number State |
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