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General NPI Number Information
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NPI Number | 1396678496
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Entity Type | Organization
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Legal Business Name | LEGACY LIVING SOLUTIONS, CORP
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 1425 E GUN HILL RD APT 2
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City | BRONX
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State | NY
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Zip | 10469-3066
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Country | US
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Telephone | 914-733-2168
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Fax | 718-320-4735
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Provider Business Mailing Address
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Address Line | 1425 E GUN HILL RD APT 2
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City | BRONX
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State | NY
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Zip | 10469-3066
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Country | US
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Telephone | 914-733-2168
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Fax | 718-320-4735
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Authorized Official
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Title or Position | ACCOUNTS PAYABLE
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Name | SHEIK KHAN
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Credential |
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Telephone | 718-320-4734
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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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