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General NPI Number Information
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NPI Number | 1386791325
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Entity Type | Organization
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Legal Business Name | FAMILY HOME CARE INC
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 01/25/2008
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Provider Practice Location Address
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Address Line | 519 N MADISON ST
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City | ROME
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State | NY
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Zip | 13440-4133
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Country | US
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Telephone | 315-336-3920
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Fax | 315-339-7270
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Provider Business Mailing Address
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Address Line | 519 N MADISON ST
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City | ROME
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State | NY
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Zip | 13440-4133
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Country | US
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Telephone | 315-336-3920
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Fax | 315-339-7270
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Authorized Official
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Title or Position | CORPORATE TREASURER
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Name | MR. RANDALL CHARLES BROOKE
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Credential |
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Telephone | 315-336-3920
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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 | NY
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Taxonomy #2
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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 | NY
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Taxonomy #3
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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 | NY
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