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General NPI Number Information
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NPI Number | 1245602317
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Entity Type | Organization
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Legal Business Name | ATTENTIVE HOME CARE, INC
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Dates
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Enumeration Date | 10/28/2015
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Last Update Date | 10/28/2015
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Provider Practice Location Address
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Address Line | 11325 QUEENS BLVD
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City | FOREST HILLS
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State | NY
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Zip | 11375-7018
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Country | US
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Telephone | 718-943-0900
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Fax | 718-943-0902
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Provider Business Mailing Address
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Address Line | 11325 QUEENS BLVD
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City | FOREST HILLS
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State | NY
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Zip | 11375-7018
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Country | US
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Telephone | 718-943-0900
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Fax | 718-943-0902
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | YELENA PUSTILNIK
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Credential |
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Telephone | 718-843-8430
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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 | 1839L001
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License Number State | NY
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