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General NPI Number Information
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NPI Number | 1265749220
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Entity Type | Organization
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Legal Business Name | PRINCE'S EMPLOYMENT AGENCY
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Dates
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Enumeration Date | 09/10/2010
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Last Update Date | 09/10/2010
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Provider Practice Location Address
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Address Line | 83 MIDDLE NECK RD
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City | GREAT NECK
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State | NY
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Zip | 11021-2368
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Country | US
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Telephone | 516-482-7467
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Fax | 516-482-1861
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Provider Business Mailing Address
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Address Line | 83 MIDDLE NECK RD
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City | GREAT NECK
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State | NY
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Zip | 11021-2368
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Country | US
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Telephone | 516-482-7467
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Fax | 516-482-1861
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PRINCE AVERY
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Credential |
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Telephone | 516-482-7467
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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 | 6689
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License Number State | NY
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