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General NPI Number Information
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NPI Number | 1518293760
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Entity Type | Organization
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Legal Business Name | GOLD & SILVER AGING HOME CARE INC
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Dates
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Enumeration Date | 10/22/2009
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Last Update Date | 10/22/2009
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Provider Practice Location Address
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Address Line | 316 5TH AVE PENTHHOUSE
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City | NEW YORK
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State | NY
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Zip | 10001-3602
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Country | US
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Telephone | 212-686-5750
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Fax |
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Provider Business Mailing Address
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Address Line | 287 EAST 55
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City | BROKKLYN
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State | NY
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Zip | 11203
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Country | US
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Telephone | 718-498-0955
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Fax |
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Authorized Official
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Title or Position | ADMIN.
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Name | LEONORA HECTOR-SIDIBE
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Credential |
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Telephone | 212-685-5750
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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 | 229905
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License Number State | NY
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