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General NPI Number Information
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NPI Number | 1750628772
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Entity Type | Organization
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Legal Business Name | JEWISH HOME LIFECARE, COMMUNITY SERVICES
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Dates
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Enumeration Date | 01/10/2013
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Last Update Date | 01/10/2013
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Provider Practice Location Address
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Address Line | 2900 EXTERIOR ST 2
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City | BRONX
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State | NY
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Zip | 10463-7103
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Country | US
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Telephone | 718-367-1125
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 EXTERIOR ST 2
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City | BRONX
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State | NY
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Zip | 10463-7103
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Country | US
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Telephone | 718-367-1125
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | AUDREY WEINER
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Credential | DSW
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Telephone | 212-870-4600
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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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