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General NPI Number Information
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NPI Number | 1629329883
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Entity Type | Organization
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Legal Business Name | JOSEL CARE AGENCY
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Dates
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Enumeration Date | 09/27/2012
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Last Update Date | 09/27/2012
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Provider Practice Location Address
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Address Line | 11619 218TH ST
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City | CAMBRIA HEIGHTS
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State | NY
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Zip | 11411-1503
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Country | US
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Telephone | 646-255-3353
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Fax |
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Provider Business Mailing Address
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Address Line | 11619 218TH ST
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City | CAMBRIA HEIGHTS
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State | NY
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Zip | 11411-1503
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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 | REGISTERED NURSE
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Name | MS. NATASHA BERRY
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Credential |
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Telephone | 646-255-3353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 661651-1
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License Number State | NY
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