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General NPI Number Information
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NPI Number | 1548771694
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Entity Type | Organization
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Legal Business Name | SILVER LINING HOMECARE AGENCY, INC.
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Dates
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Enumeration Date | 10/17/2017
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 1115 AVENUE U
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City | BROOKLYN
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State | NY
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Zip | 11223-5019
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Country | US
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Telephone | 718-717-8337
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Fax | 718-717-8794
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Provider Business Mailing Address
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Address Line | 1115 AVENUE U
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City | BROOKLYN
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State | NY
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Zip | 11223-5019
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Country | US
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Telephone | 718-717-8337
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Fax | 718-717-8794
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JACOB JOFFE
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Credential |
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Telephone | 347-921-2232
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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 | 2203L001
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License Number State | NY
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