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General NPI Number Information
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NPI Number | 1275989766
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Entity Type | Organization
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Legal Business Name | ELDER CARE STAFFING SOLUTIONS LLC
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Dates
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Enumeration Date | 05/13/2016
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 336 ROUTE 202 SUITE #3
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City | SOMERS
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State | NY
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Zip | 10589-3220
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Country | US
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Telephone | 914-669-5200
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Fax | 914-669-5400
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Provider Business Mailing Address
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Address Line | 336 ROUTE 202 SUITE #3
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City | SOMERS
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State | NY
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Zip | 10589-3220
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Country | US
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Telephone | 914-669-5200
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Fax | 914-669-5400
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Authorized Official
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Title or Position | OWNER/SECRETARY
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Name | MRS. GRACE COGNETTA
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Credential | R.N
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Telephone | 914-669-5200
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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 | 1470L001
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License Number State | NY
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