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General NPI Number Information
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NPI Number | 1619047131
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Entity Type | Organization
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Legal Business Name | FEGS HOME ATTENDANT SERVICES, INC.
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 05/11/2011
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Provider Practice Location Address
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Address Line | 424 E 147TH ST 4TH FL
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City | BRONX
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State | NY
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Zip | 10455-4104
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Country | US
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Telephone | 212-491-6000
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Fax | 212-369-2337
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Provider Business Mailing Address
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Address Line | 424 E 147TH ST 4TH FL
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City | BRONX
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State | NY
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Zip | 10455-4104
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Country | US
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Telephone | 212-491-6000
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Fax | 212-369-2337
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. DORIS SPENCER
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Credential | NURSE
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Telephone | 212-491-6000
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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 | 9659L001
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License Number State | NY
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