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General NPI Number Information
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NPI Number | 1245318617
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY HOME NURSING SERVICES, INC.
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/22/2016
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Provider Practice Location Address
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Address Line | 1065 OLD COUNTRY RD SUITE 211
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City | WESTBURY
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State | NY
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Zip | 11590-5640
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Country | US
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Telephone | 516-997-1208
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Fax | 516-997-4460
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Provider Business Mailing Address
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Address Line | 1065 OLD COUNTRY RD SUITE 210
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City | WESTBURY
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State | NY
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Zip | 11590-5644
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Country | US
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Telephone | 516-997-1208
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Fax | 516-997-4460
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MRS. TANIELLA J HARRISON
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Credential | MBA
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Telephone | 516-997-1208
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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 | 1168L001
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License Number State | NY
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