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General NPI Number Information
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NPI Number | 1548031644
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Entity Type | Organization
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Legal Business Name | NEW VISION HOME CARE SERVICES, LLC
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Dates
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Enumeration Date | 01/09/2024
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 40 SAW MILL RIVER RD LOWR LL7
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City | HAWTHORNE
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State | NY
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Zip | 10532-1539
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Country | US
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Telephone | 646-696-5001
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Fax |
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Provider Business Mailing Address
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Address Line | 9609 SPRINGFIELD BLVD STE 204
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City | QUEENS VILLAGE
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State | NY
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Zip | 11429-1360
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Country | US
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Telephone | 914-449-8021
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Fax | 914-931-2595
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Authorized Official
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Title or Position | CEO
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Name | MR. SAM FORESTE
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Credential |
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Telephone | 914-449-8021
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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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