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General NPI Number Information
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NPI Number | 1497263651
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Entity Type | Organization
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Legal Business Name | HA ENTERPRISE, LLC
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Dates
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Enumeration Date | 01/22/2018
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Last Update Date | 01/22/2018
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Provider Practice Location Address
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Address Line | 742 CLINTON AVE S
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City | ROCHESTER
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State | NY
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Zip | 14620-1402
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Country | US
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Telephone | 585-545-5082
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Fax |
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Provider Business Mailing Address
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Address Line | 82 E MAIN ST
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City | WEBSTER
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State | NY
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Zip | 14580-3243
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Country | US
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Telephone | 585-236-1188
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. SEAN T. HANNA
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Credential | ESQ.
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Telephone | 585-545-5082
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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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