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General NPI Number Information
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NPI Number | 1659885259
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Entity Type | Organization
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Legal Business Name | HS CAN STAFF LLC
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Dates
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Enumeration Date | 11/20/2017
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Last Update Date | 12/18/2018
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Provider Practice Location Address
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Address Line | 59 LEXINGTON WAY
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City | MIDDLETOWN
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State | NY
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Zip | 10940-1607
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Country | US
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Telephone | 845-775-4760
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Fax |
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Provider Business Mailing Address
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Address Line | 59 LEXINGTON WAY
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City | MIDDLETOWN
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State | NY
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Zip | 10940-1607
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Country | US
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Telephone | 845-775-4760
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CLAYDEAN TOWNSEND
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Credential |
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Telephone | 845-775-4264
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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