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General NPI Number Information
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NPI Number | 1538781422
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Entity Type | Organization
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Legal Business Name | AGAPE HOME CARE SERVICES
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Dates
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Enumeration Date | 05/13/2020
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Last Update Date | 05/13/2020
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Provider Practice Location Address
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Address Line | 280 OCEAN PKWY APT 1A
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City | BROOKLYN
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State | NY
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Zip | 11218-4031
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Country | US
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Telephone | 718-807-5366
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Fax | 347-404-6720
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Provider Business Mailing Address
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Address Line | 280 OCEAN PKWY APT 1A
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City | BROOKLYN
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State | NY
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Zip | 11218-4031
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Country | US
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Telephone | 718-807-5366
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Fax | 347-404-6720
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Authorized Official
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Title or Position | CEO
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Name | VERMARIE PENCEAL
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Credential | MA
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Telephone | 718-807-5366
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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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