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General NPI Number Information
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NPI Number | 1275712994
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Entity Type | Organization
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Legal Business Name | CONCEPT HOME CARE, INC.
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 10/24/2013
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Provider Practice Location Address
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Address Line | 740 E 233RD ST 2ND FLOOR
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City | BRONX
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State | NY
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Zip | 10466-3202
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Country | US
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Telephone | 718-409-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 740 E 233RD ST 2ND FLOOR
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City | BRONX
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State | NY
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Zip | 10466-3202
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Country | US
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Telephone | 718-409-6500
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. MARIA J ETIM
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Credential |
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Telephone | 718-708-7500
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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 | 1340L001
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License Number State | NY
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