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General NPI Number Information
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NPI Number | 1366810095
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Entity Type | Organization
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Legal Business Name | YORK HEALTHCARE
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Dates
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Enumeration Date | 09/11/2015
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Last Update Date | 09/11/2015
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Provider Practice Location Address
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Address Line | 12034 QUEENS BLVD SUITE340
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City | KEW GARDENS
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State | NY
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Zip | 11415-1230
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Country | US
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Telephone | 718-460-4200
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Fax | 347-368-4828
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Provider Business Mailing Address
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Address Line | 12034 QUEENS BLVD SUITE340
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City | KEW GARDENS
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State | NY
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Zip | 11415-1230
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Country | US
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Telephone | 718-460-4200
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Fax | 347-368-4828
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MEL ESCOBAR
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Credential |
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Telephone | 917-769-8744
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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 | 2044L-001
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License Number State | NY
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