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General NPI Number Information
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NPI Number | 1588224901
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Entity Type | Organization
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Legal Business Name | LEMON HEALTH AT HOME, LLC
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Dates
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Enumeration Date | 06/18/2019
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Last Update Date | 06/18/2019
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Provider Practice Location Address
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Address Line | 4628 VERNON BLVD., SUITE 531
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101
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Country | US
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Telephone | 917-960-3376
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Fax | 833-931-6353
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Provider Business Mailing Address
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Address Line | 4628 VERNON BLVD., SUITE 531
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101
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Country | US
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Telephone | 917-960-3376
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Fax | 833-931-6353
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | SHENEKIA LOUD
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Credential | FA-C
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Telephone | 917-960-3376
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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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