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General NPI Number Information
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NPI Number | 1184775637
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Entity Type | Organization
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Legal Business Name | OMEGA CARE SERVICES, INC
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 32 E KINGSBRIDGE RD SUITE 2E
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City | BRONX
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State | NY
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Zip | 10468-7513
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Country | US
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Telephone | 718-584-6900
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Fax | 718-584-6901
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Provider Business Mailing Address
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Address Line | 32 E KINGSBRIDGE RD SUITE 2E
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City | BRONX
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State | NY
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Zip | 10468-7513
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Country | US
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Telephone | 718-584-6900
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Fax | 718-584-6901
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PHILLIP KWAKU DUAH
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Credential |
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Telephone | 718-584-6900
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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 | 1285L001
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License Number State | NY
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