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General NPI Number Information
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NPI Number | 1497021026
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Entity Type | Organization
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Legal Business Name | VIP HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 03/28/2012
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Last Update Date | 03/28/2012
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Provider Practice Location Address
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Address Line | 1796 CLOVE RD
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City | STATEN ISLAND
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State | NY
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Zip | 10304-1608
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Country | US
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Telephone | 718-390-0490
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Fax | 718-390-0473
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Provider Business Mailing Address
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Address Line | 1796 CLOVE RD
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City | STATEN ISLAND
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State | NY
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Zip | 10304-1608
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Country | US
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Telephone | 718-390-0490
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Fax | 718-390-0473
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MS. NADIA KALOGERAKOS
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Credential |
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Telephone | 718-390-0490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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