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NPI 1356785646

NPI 1356785646 : RELIANCE HEALTHCARE LLC : MASSAPEQUA, NY

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General NPI Number Information
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    NPI Number           |    1356785646
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    Entity Type          |    Organization 
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    Legal Business Name  |    RELIANCE HEALTHCARE LLC 
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Dates
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    Enumeration Date     |    04/17/2013
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    Last Update Date     |    08/18/2020
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Provider Practice Location Address
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    Address Line         |    ONE SUNRISE MALL (1025) 
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    City                 |    MASSAPEQUA
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    State                |    NY
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    Zip                  |    11758
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    Country              |    US
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    Telephone            |    516-308-4840
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    Fax                  |    516-809-9338
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Provider Business Mailing Address
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    Address Line         |    ONE SUNRISE MALL (1025) 
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    City                 |    MASSAPEQUA
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    State                |    NY
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    Zip                  |    11758
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    Country              |    US
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    Telephone            |    516-308-4840
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    Fax                  |    516-809-9338
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. DANA LYN ARNONE 
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    Credential           |    RN
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    Telephone            |    516-314-6398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    372600000X
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    Taxonomy Name        |    Adult Companion
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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