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General NPI Number Information
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NPI Number | 1235777228
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Entity Type | Organization
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Legal Business Name | YOUR CHOICE OF HOME CARE LLC
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Dates
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Enumeration Date | 12/20/2019
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 422 POST RD
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City | WARWICK
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State | RI
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Zip | 02888-1548
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Country | US
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Telephone | 401-537-7849
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Fax | 401-537-7815
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Provider Business Mailing Address
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Address Line | 15 BROOM ST
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City | PROVIDENCE
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State | RI
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Zip | 02905-2901
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Country | US
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Telephone | 401-537-7849
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Fax | 401-537-7815
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Authorized Official
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Title or Position | OWNER
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Name | MRS. EVELYN N PINTO DE DURAN
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Credential | RN
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Telephone | 401-499-3794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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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 |
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License Number State |
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