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General NPI Number Information
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NPI Number | 1437551637
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Entity Type | Organization
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Legal Business Name | ARLETTE'S HOME CARE AGENCY
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Dates
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Enumeration Date | 09/18/2014
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 250 FULTON AVE 208
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City | HEMPSTEAD
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State | NY
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Zip | 11550-3917
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Country | US
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Telephone | 516-505-4922
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Fax |
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Provider Business Mailing Address
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Address Line | 250 FULTON AVE 208
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City | HEMPSTEAD
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State | NY
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Zip | 11550-3917
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Country | US
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Telephone | 516-505-4922
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | GAVIN STEWART
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Credential |
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Telephone | 516-505-4922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 304274-1
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License Number State | NY
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