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General NPI Number Information
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NPI Number | 1386797611
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Entity Type | Organization
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Legal Business Name | FULL CARE, INC.
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 749 E 135TH ST STE 102&103
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City | BRONX
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State | NY
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Zip | 10454-3408
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Country | US
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Telephone | 347-621-6640
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Fax | 347-338-6799
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Provider Business Mailing Address
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Address Line | 749 E 135TH ST STE 102&103
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City | BRONX
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State | NY
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Zip | 10454-3408
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Country | US
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Telephone | 347-621-6640
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Fax | 347-338-6799
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Authorized Official
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Title or Position | CEO
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Name | MR. GORDON J. GERARD
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Credential |
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Telephone | 516-849-6586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 9422L001
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License Number State | NY
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