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General NPI Number Information
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NPI Number | 1467990010
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Entity Type | Organization
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Legal Business Name | UNIVERSAL HEALTH CARE, LLC
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Dates
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Enumeration Date | 02/03/2017
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Last Update Date | 02/03/2017
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Provider Practice Location Address
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Address Line | 10018 DITMARS BLVD SUITE 101
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City | EAST ELMHURST
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State | NY
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Zip | 11369-1326
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Country | US
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Telephone | 718-215-5320
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Fax | 718-424-4970
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Provider Business Mailing Address
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Address Line | 10018 DITMARS BLVD SUITE 101
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City | EAST ELMHURST
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State | NY
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Zip | 11369-1326
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Country | US
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Telephone | 718-215-5320
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Fax | 718-424-4970
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JAMIE LUCHS
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Credential |
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Telephone | 718-215-5320
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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 | 1214L001
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License Number State | NY
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