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NPI 1275612491

NPI 1275612491 : ATTENTIVE CARE, INC : BABYLON, NY

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General NPI Number Information
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    NPI Number           |    1275612491
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    Entity Type          |    Organization 
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    Legal Business Name  |    ATTENTIVE CARE, INC 
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Dates
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    Enumeration Date     |    11/06/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    375 DEER PARK AVE SUITE 201 HOME CARE
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    City                 |    BABYLON
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    State                |    NY
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    Zip                  |    11702-2309
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    Country              |    US
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    Telephone            |    631-587-3366
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    Fax                  |    518-438-3360
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Provider Business Mailing Address
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    Address Line         |    5 COMPUTER DR W 
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    City                 |    ALBANY
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    State                |    NY
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    Zip                  |    12205-1659
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    Country              |    US
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    Telephone            |    631-587-3366
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    Fax                  |    518-438-3360
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Authorized Official
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    Title or Position    |    PRESDIENT
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    Name                 |    MR. BRIAN  BOTSHON 
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    Credential           |    
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    Telephone            |    631-587-3366
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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       |    00850784
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    License Number State |    NY
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