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General NPI Number Information
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NPI Number | 1205061496
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Entity Type | Organization
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Legal Business Name | RELIANTCARE SERVICES INC
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Dates
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Enumeration Date | 05/18/2009
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Last Update Date | 05/13/2015
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Provider Practice Location Address
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Address Line | 18 A SHONNARD PLACE
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City | YONKERS
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State | NY
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Zip | 10703
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Country | US
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Telephone | 914-375-2226
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Fax | 914-375-2886
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Provider Business Mailing Address
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Address Line | 18 A SHONNARD PLACE
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City | YONKERS
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State | NY
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Zip | 10703
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Country | US
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Telephone | 914-375-2226
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Fax | 914-375-2886
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. UMO EDEDET UDO
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Credential |
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Telephone | 914-375-2226
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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 | 1446-L
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1446L001
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License Number State | NY
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