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General NPI Number Information
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NPI Number | 1538980248
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Entity Type | Organization
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Legal Business Name | PEARL JOYCE GRAHAM HOME HEALTHCARE SERVICES
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Dates
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Enumeration Date | 10/24/2024
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 109 KING CT
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City | ELMONT
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State | NY
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Zip | 11003-4226
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Country | US
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Telephone | 516-590-5132
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Fax |
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Provider Business Mailing Address
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Address Line | 109 KING CT
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City | ELMONT
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State | NY
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Zip | 11003-4226
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR BILLING
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Name | MR. MUHAMMAD USAMA JAMIL
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Credential |
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Telephone | 307-241-6004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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