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General NPI Number Information
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NPI Number | 1184915399
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Entity Type | Organization
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Legal Business Name | SARA COMPANION SERVICES
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Dates
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Enumeration Date | 04/21/2011
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Last Update Date | 04/21/2011
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Provider Practice Location Address
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Address Line | 201 E MERRICK RD
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City | VALLEY STREAM
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State | NY
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Zip | 11580-5952
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Country | US
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Telephone | 516-837-3388
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Fax | 516-837-3389
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Provider Business Mailing Address
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Address Line | 201 EAST MERRICK ROAD
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City | VALLEY STREAM
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State | NY
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Zip | 11580
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Country | US
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Telephone | 516-837-3388
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Fax | 516-837-3389
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | BRAD COHEN
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Credential |
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Telephone | 516-837-3388
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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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