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General NPI Number Information
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NPI Number | 1700925674
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Entity Type | Organization
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Legal Business Name | JOS-EL CARE AGENCY, INC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13 CLEVELAND ST
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City | VALLEY STREAM
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State | NY
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Zip | 11580-6003
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Country | US
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Telephone | 516-823-0739
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Fax | 516-823-1550
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Provider Business Mailing Address
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Address Line | 13 CLEVELAND ST
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City | VALLEY STREAM
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State | NY
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Zip | 11580-6003
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Country | US
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Telephone | 516-823-0739
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Fax | 516-823-1550
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ELIZABETH N GONSALVES
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Credential | RN
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Telephone | 516-823-0739
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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 | 9609L001
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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 | 9609L002
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License Number State | NY
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