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General NPI Number Information
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NPI Number | 1427490515
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Entity Type | Organization
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Legal Business Name | GENTLEHANDS HOME CARE
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Dates
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Enumeration Date | 07/18/2013
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Last Update Date | 07/18/2013
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Provider Practice Location Address
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Address Line | 17008 JAMAICA AVE
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City | JAMAICA
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State | NY
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Zip | 11432-5220
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Country | US
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Telephone | 347-571-4802
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Fax |
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Provider Business Mailing Address
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Address Line | 9016 171ST ST
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City | JAMAICA
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State | NY
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Zip | 11432-5440
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Country | US
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Telephone | 347-571-4802
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Fax |
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Authorized Official
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Title or Position | OWNER CEO
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Name | DOREEN CAMPBELL
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Credential |
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Telephone | 347-571-4802
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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 | 1451983
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License Number State | NY
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