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General NPI Number Information
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NPI Number | 1710591672
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Entity Type | Organization
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Legal Business Name | EMBRACE HOME CARE AGENCY LLC
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Dates
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Enumeration Date | 09/08/2020
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Last Update Date | 09/08/2020
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Provider Practice Location Address
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Address Line | 6800 JERICHO TPKE STE 120W
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City | SYOSSET
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State | NY
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Zip | 11791-4445
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Country | US
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Telephone | 631-406-3551
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Fax |
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Provider Business Mailing Address
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Address Line | 6800 JERICHO TPKE STE 120W
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City | SYOSSET
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State | NY
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Zip | 11791-4445
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Country | US
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Telephone | 631-406-3551
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Fax |
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Authorized Official
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Title or Position | HEALTH CARE DIRECTOR
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Name | PADMA BHUDEO
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Credential |
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Telephone | 516-806-9108
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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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