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General NPI Number Information
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NPI Number | 1205196334
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Entity Type | Organization
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Legal Business Name | AAG IN HOME CARE LLC
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Dates
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Enumeration Date | 05/23/2012
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Last Update Date | 12/26/2020
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Provider Practice Location Address
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Address Line | 1541 ALTA DR STE 102
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City | WHITEHALL
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State | PA
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Zip | 18052-5632
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Country | US
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Telephone | 484-353-1210
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Fax |
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Provider Business Mailing Address
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Address Line | 104 SCHUYLER RD
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City | ALLENDALE
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State | NJ
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Zip | 07401-1837
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Country | US
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Telephone | 917-846-9067
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Fax | 866-459-9641
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Authorized Official
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Title or Position | OWNER, PRESIDENT AND ADMINISTRATOR
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Name | ANDREW KAY
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Credential |
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Telephone | 484-353-1210
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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 | 04930501
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License Number State | PA
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