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General NPI Number Information
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NPI Number | 1316023229
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Entity Type | Organization
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Legal Business Name | SERVICES FOR THE AGED
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 03/22/2018
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Provider Practice Location Address
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Address Line | 247 WEST 37TH STREET 4TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10018
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Country | US
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Telephone | 646-343-9300
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Fax | 929-299-1192
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Provider Business Mailing Address
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Address Line | 247 WEST 37TH STREET 4TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10018
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Country | US
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Telephone | 646-343-9300
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Fax | 929-299-1192
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Authorized Official
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Title or Position | DIRECTOR OF HOME CARE
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Name | MRS. SVETLANA GOYKHBERG
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Credential | RN, MSA
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Telephone | 646-343-9300
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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 |
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License Number State |
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