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General NPI Number Information
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NPI Number | 1396113460
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Entity Type | Organization
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Legal Business Name | ATD HOME HEALTH AGENCY INC.
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Dates
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Enumeration Date | 09/08/2015
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Last Update Date | 09/08/2015
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Provider Practice Location Address
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Address Line | 14309 14TH AVE
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City | WHITESTONE
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State | NY
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Zip | 11357-2330
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Country | US
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Telephone | 917-209-1366
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Fax | 718-353-3574
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Provider Business Mailing Address
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Address Line | 14309 14TH AVE
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City | WHITESTONE
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State | NY
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Zip | 11357-2330
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Country | US
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Telephone | 917-209-1366
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Fax | 718-353-3574
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Authorized Official
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Title or Position | OWNER
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Name | YIJIA ZHANG
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Credential |
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Telephone | 917-209-1366
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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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