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General NPI Number Information
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NPI Number | 1568676146
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Entity Type | Organization
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Legal Business Name | GOLD & SILVER AGING HOME CARE INC
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 12/28/2010
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Provider Practice Location Address
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Address Line | 1170 BROADWAY SUITE 428
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City | NEW YORK
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State | NY
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Zip | 10001-7507
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Country | US
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Telephone | 212-685-5750
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Fax | 212-685-5754
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Provider Business Mailing Address
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Address Line | 1170 BROADWAY SUITE 428
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City | NEW YORK
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State | NY
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Zip | 10001-7507
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Country | US
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Telephone | 212-685-5750
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Fax | 212-685-5754
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LEONORA HECTOR-SIDIBE
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Credential |
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Telephone | 212-685-5750
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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 | 9990L001
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License Number State | NY
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