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NPI 1437548021

NPI 1437548021 : PROFESSIONAL CARING HANDS : MOUNT VERNON, NY

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General NPI Number Information
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    NPI Number           |    1437548021
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    Entity Type          |    Organization 
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    Legal Business Name  |    PROFESSIONAL CARING HANDS 
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Dates
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    Enumeration Date     |    01/20/2015
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    Last Update Date     |    01/20/2015
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Provider Practice Location Address
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    Address Line         |    129 VERNON AVE 
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    City                 |    MOUNT VERNON
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    State                |    NY
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    Zip                  |    10553-1811
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    Country              |    US
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    Telephone            |    914-699-5407
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    107 GRANT AVENUE 
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    City                 |    PEEKSKILL
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    State                |    NY
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    Zip                  |    10566
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    Country              |    US
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    Telephone            |    914-699-5407
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CHIEF EXECUTIVE OFFICER
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    Name                 |    MR. BROWN MADUBUKO OGWUMA 
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    Credential           |    MSW, LCSW
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    Telephone            |    914-831-9694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    273Y00000X
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    Taxonomy Name        |    Rehabilitation Hospital Unit
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    License Number       |    
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    License Number State |    
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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 |    
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