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General NPI Number Information
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NPI Number | 1336340371
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Entity Type | Organization
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Legal Business Name | PERSONAL HOME CARE INC.
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 775 PARK AVE STE 155
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City | HUNTINGTON
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State | NY
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Zip | 11743-7516
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Country | US
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Telephone | 631-549-9500
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Fax | 631-549-9508
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Provider Business Mailing Address
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Address Line | 775 PARK AVE STE 155
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City | HUNTINGTON
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State | NY
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Zip | 11743-7516
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Country | US
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Telephone | 631-549-9500
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Fax | 631-549-9508
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Authorized Official
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Title or Position | DPS
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Name | MS. COLLEEN LINDBLAD
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Credential | N
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Telephone | 631-549-9500
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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 | 1227L001
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License Number State | NY
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