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General NPI Number Information
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NPI Number | 1447587357
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Entity Type | Organization
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Legal Business Name | LSB'S HOME CARE SERVICES
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Dates
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Enumeration Date | 11/13/2009
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Last Update Date | 11/13/2009
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Provider Practice Location Address
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Address Line | 250 FULTON AVE STE. 611
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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 | 516-408-3165
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Fax | 516-308-3168
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Provider Business Mailing Address
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Address Line | 250 FULTON AVE STE. 611
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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 | 516-408-3165
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Fax | 516-308-3168
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Authorized Official
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Title or Position | OWNER
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Name | LINDA SICONOLFI-BAEZ
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Credential | M.S., M.P.H.
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Telephone | 516-408-3165
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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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