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General NPI Number Information
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NPI Number | 1700850971
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Entity Type | Organization
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Legal Business Name | PCI HOME CARE GROUP INC
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 336 W 263RD ST
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City | RIVERDALE
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State | NY
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Zip | 10471-1106
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Country | US
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Telephone | 718-884-7800
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Fax | 718-549-2857
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Provider Business Mailing Address
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Address Line | 336 W 263RD ST
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City | RIVERDALE
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State | NY
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Zip | 10471-1106
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Country | US
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Telephone | 718-884-7800
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Fax | 718-549-2857
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ZENAIDA BOCANEGRA MAGLANOC
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Credential | RN
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Telephone | 718-884-7800
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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 | 0974L001
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License Number State | NY
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