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General NPI Number Information
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NPI Number | 1366840092
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Entity Type | Organization
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Legal Business Name | ALBAY HOMECARE LLC
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Dates
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Enumeration Date | 12/11/2014
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Last Update Date | 12/11/2014
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Provider Practice Location Address
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Address Line | 3817 GRAPHIC PL
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City | PLANO
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State | TX
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Zip | 75075-3503
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Country | US
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Telephone | 714-422-8347
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Fax | 972-596-3045
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Provider Business Mailing Address
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Address Line | 3817 GRAPHIC PL
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City | PLANO
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State | TX
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Zip | 75075-3503
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Country | US
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Telephone | 714-422-8347
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Fax | 972-596-3045
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Authorized Official
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Title or Position | PRESIDENT
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Name | NONITA DELEON
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Credential |
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Telephone | 714-422-8347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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