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General NPI Number Information
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NPI Number | 1639022262
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Entity Type | Organization
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Legal Business Name | MCKAYLA HOMECARE
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Dates
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Enumeration Date | 02/14/2026
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Last Update Date | 02/14/2026
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Provider Practice Location Address
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Address Line | 123 CLAREMONT AVE
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City | WEST BABYLON
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State | NY
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Zip | 11704-4012
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Country | US
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Telephone | 516-304-4492
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Fax |
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Provider Business Mailing Address
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Address Line | 123 CLAREMONT AVE
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City | WEST BABYLON
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State | NY
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Zip | 11704-4012
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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 | OWNER
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Name | MAGDALA PERSIMONT
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Credential |
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Telephone | 516-304-4492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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