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General NPI Number Information
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NPI Number | 1700061876
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Entity Type | Organization
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Legal Business Name | SHENE SERVICES LLC
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 05/24/2013
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Provider Practice Location Address
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Address Line | 1 MCGRATH STAND LN
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City | SAG HARBOR
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State | NY
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Zip | 11963-2830
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Country | US
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Telephone | 631-324-9555
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Fax | 631-458-1426
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Provider Business Mailing Address
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Address Line | PO BOX 1994
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City | EAST HAMPTON
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State | NY
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Zip | 11937-0908
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Country | US
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Telephone | 631-324-9555
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Fax | 631-458-1426
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Authorized Official
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Title or Position | ADMINISTRATOR PRESIDENT
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Name | MS. BETHANY SHENE
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Credential | LPN
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Telephone | 631-324-9555
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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 | 1127L001
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1127L001
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License Number State | NY
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