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General NPI Number Information
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NPI Number | 1437560059
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Entity Type | Organization
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Legal Business Name | HOMECREST COMMUNITY SERVICES, INC.
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Dates
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Enumeration Date | 05/16/2014
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Last Update Date | 05/16/2014
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Provider Practice Location Address
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Address Line | 1413 AVENUE T
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City | BROOKLYN
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State | NY
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Zip | 11229-3317
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Country | US
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Telephone | 718-376-4036
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Fax | 718-376-4124
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Provider Business Mailing Address
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Address Line | 1413 AVENUE T
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City | BROOKLYN
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State | NY
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Zip | 11229-3317
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Country | US
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Telephone | 718-376-4036
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Fax | 718-376-4124
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. AILEE K. TSANG
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Credential | MBA
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Telephone | 718-376-4036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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