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General NPI Number Information
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NPI Number | 1255537254
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Entity Type | Organization
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Legal Business Name | METRO INTERFAITH HOME CARE
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 21 NEW ST
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City | BINGHAMTON
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State | NY
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Zip | 13903-1759
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Country | US
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Telephone | 607-772-6766
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Fax | 607-722-8912
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Provider Business Mailing Address
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Address Line | 21 NEW ST
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City | BINGHAMTON
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State | NY
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Zip | 13903-1759
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Country | US
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Telephone | 607-772-6766
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Fax | 607-722-8912
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Authorized Official
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Title or Position | CEOPRESIDENT
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Name | MS. LAURA DIANE RHINEHART
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Credential |
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Telephone | 607-772-6766
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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 | 9954L001
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License Number State | NY
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