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General NPI Number Information
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NPI Number | 1750445664
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Entity Type | Organization
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Legal Business Name | MARIAN CARE, INC.
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 02/07/2021
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Provider Practice Location Address
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Address Line | 467 WILLIS AVENUE
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City | WILLISTON PAR
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State | NY
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Zip | 11596-1724
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Country | US
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Telephone | 516-741-8600
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Fax | 516-408-3111
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Provider Business Mailing Address
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Address Line | 467 WILLIS AVENUE
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City | WILLISTON PAR
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State | NY
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Zip | 11596-1724
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Country | US
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Telephone | 516-741-8600
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Fax | 516-408-3111
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. JENNIFER JEANNE MUELLER
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Credential |
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Telephone | 516-741-8600
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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 | 9061L001
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License Number State | NY
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