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General NPI Number Information
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NPI Number | 1205294766
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Entity Type | Organization
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Legal Business Name | WILLCARE
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Dates
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Enumeration Date | 01/29/2016
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Last Update Date | 01/29/2016
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Provider Practice Location Address
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Address Line | 803 GRANT AVE
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City | LAKE KATRINE
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State | NY
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Zip | 12449-5352
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Country | US
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Telephone | 845-331-5064
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Fax |
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Provider Business Mailing Address
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Address Line | 803 GRANT AVE
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City | LAKE KATRINE
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State | NY
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Zip | 12449-5352
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Country | US
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Telephone | 845-331-5064
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Fax |
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Authorized Official
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Title or Position | RN CASE MANAGER
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Name | CHRISTINE DEVRIES
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Credential | RN
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Telephone | 845-331-5064
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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 | 379529-1
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License Number State | NY
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