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General NPI Number Information
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NPI Number | 1548920085
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Entity Type | Organization
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Legal Business Name | KINGS HOMECARE AGENCY
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Dates
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Enumeration Date | 12/25/2021
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Last Update Date | 12/25/2021
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Provider Practice Location Address
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Address Line | 1864 86TH ST # 2F
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City | BROOKLYN
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State | NY
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Zip | 11214-3107
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Country | US
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Telephone | 917-324-6973
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Fax | 347-368-0618
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Provider Business Mailing Address
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Address Line | PO BOX 686
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City | NEW YORK
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State | NY
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Zip | 10002-0686
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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 | ADMINISTRATOR
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Name | KWOK HING LUK
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Credential |
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Telephone | 917-324-6973
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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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