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General NPI Number Information
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NPI Number | 1699470013
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Entity Type | Organization
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Legal Business Name | ACORN R. HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 04/04/2023
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Last Update Date | 04/17/2023
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Provider Practice Location Address
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Address Line | 130 N MAIN ST STE 201E
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City | NEW CITY
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State | NY
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Zip | 10956-3800
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Country | US
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Telephone | 978-328-6764
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Fax |
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Provider Business Mailing Address
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Address Line | 30 PARK AVE APT 4A
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City | MOUNT VERNON
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State | NY
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Zip | 10550-2153
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Country | US
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Telephone | 978-328-6764
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | FLORENCE GITAU
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Credential | DNP, RN.
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Telephone | 978-328-6764
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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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