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General NPI Number Information
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NPI Number | 1619141033
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Entity Type | Organization
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Legal Business Name | CAREWELL HOME CARE INC
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 04/15/2009
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Provider Practice Location Address
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Address Line | 253 UTICA AVE. 2ND FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11213
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Country | US
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Telephone | 718-773-3350
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Fax | 718-773-3354
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Provider Business Mailing Address
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Address Line | 117-35 239TH STREET
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City | ELMONT
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State | NY
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Zip | 11003
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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 | PRESIDENT/DIRACTOR PATIENT SERVICES
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Name | MRS. EBIUWA ESTHER OSEKI
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Credential |
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Telephone | 718-773-3350
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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 | 1399L001
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License Number State | NY
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