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General NPI Number Information
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NPI Number | 1457531576
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Entity Type | Organization
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Legal Business Name | LIVING LIFE HOME CARE, INC.
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 2127 CROMPOND RD SUITE 102
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-4329
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Country | US
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Telephone | 914-734-2616
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Fax | 914-734-2648
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Provider Business Mailing Address
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Address Line | 2127 CROMPOND RD SUITE 102
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-4329
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Country | US
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Telephone | 914-734-2616
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Fax | 914-734-2648
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOY MYRA TRAILLE
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Credential | PH D
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Telephone | 914-734-2616
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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 | 1280L001
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License Number State | NY
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