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General NPI Number Information
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NPI Number | 1487057576
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Entity Type | Organization
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Legal Business Name | SAMARITAN HOME HEALTH INC
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 104 PADDOCK ST
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City | WATERTOWN
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State | NY
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Zip | 13601-0000
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Country | US
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Telephone | 315-782-0415
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Fax | 315-786-0417
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Provider Business Mailing Address
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Address Line | 104 PADDOCK ST
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City | WATERTOWN
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State | NY
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Zip | 13601-0000
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Country | US
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Telephone | 315-782-0415
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Fax | 315-786-0417
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THOMAS CARMAN
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Credential |
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Telephone | 315-785-4121
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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 |
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License Number State |
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