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General NPI Number Information
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NPI Number | 1669975033
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Entity Type | Organization
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Legal Business Name | HOME MEDICAL CARE PC
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Dates
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Enumeration Date | 03/13/2018
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Last Update Date | 03/13/2018
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Provider Practice Location Address
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Address Line | 56 GRAND CENTRAL AVE
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City | AMITYVILLE
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State | NY
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Zip | 11701-3749
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Country | US
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Telephone | 631-264-2788
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Fax |
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Provider Business Mailing Address
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Address Line | 56 GRAND CENTRAL AVE
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City | AMITYVILLE
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State | NY
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Zip | 11701-3749
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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
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Name | DR. RICHARD LESLIE COVEN
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Credential |
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Telephone | 631-264-2788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 136115
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License Number State | NY
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