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General NPI Number Information
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NPI Number | 1184703415
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Entity Type | Organization
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Legal Business Name | CONCEPTS OF INDEPENDENCE, INC.
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 120 WALL ST SUITE 1010
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City | NEW YORK
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State | NY
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Zip | 10005-3904
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Country | US
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Telephone | 212-293-9999
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Fax | 212-293-3040
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Provider Business Mailing Address
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Address Line | 120 WALL ST SUITE 1010
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City | NEW YORK
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State | NY
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Zip | 10005-3904
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Country | US
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Telephone | 212-293-9999
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Fax | 212-293-3040
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MS. AGNES MAK
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Credential | M.S.W.
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Telephone | 212-293-9999
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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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