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General NPI Number Information
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NPI Number | 1356807754
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Entity Type | Organization
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Legal Business Name | MDS HOME HEALTHCARE, INC.
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Dates
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Enumeration Date | 02/11/2019
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Last Update Date | 02/11/2019
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Provider Practice Location Address
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Address Line | 908 W CHANDLER BLVD
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City | CHANDLER
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State | AZ
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Zip | 85225-2548
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Country | US
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Telephone | 480-999-4777
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Fax | 480-666-5070
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Provider Business Mailing Address
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Address Line | 10 VESCHI LN S
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City | MAHOPAC
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State | NY
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Zip | 10541-1521
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Country | US
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Telephone | 914-373-6520
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Fax | 914-373-6521
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Authorized Official
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Title or Position | PRESIDENT
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Name | SANJAY MEHRA
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Credential |
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Telephone | 917-324-9097
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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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