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General NPI Number Information
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NPI Number | 1487996682
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Entity Type | Organization
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Legal Business Name | PLEET HOMECARE
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Dates
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Enumeration Date | 03/26/2013
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Last Update Date | 11/08/2013
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Provider Practice Location Address
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Address Line | 209 BEACH 125TH ST
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City | BELLE HARBOR
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State | NY
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Zip | 11694-1703
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Country | US
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Telephone | 347-246-6238
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Fax |
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Provider Business Mailing Address
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Address Line | 209 BEACH 125ST
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City | BELLE HARBOR
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State | NY
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Zip | 11694
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Country | US
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Telephone | 347-246-6238
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. MORRIS OIRING
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Credential |
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Telephone | 347-346-6238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 0093L
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License Number State | NY
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