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General NPI Number Information
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NPI Number | 1750673679
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Entity Type | Organization
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Legal Business Name | COMPLETE HOME CARE SERVICES, INC
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 05/11/2011
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Provider Practice Location Address
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Address Line | 20514 LINDEN BLVD STE 204
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City | SAINT ALBANS
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State | NY
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Zip | 11412-2934
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Country | US
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Telephone | 718-528-5493
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Fax |
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Provider Business Mailing Address
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Address Line | 10820 62ND DR APT 2B
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City | FOREST HILLS
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State | NY
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Zip | 11375-1213
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Country | US
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Telephone | 718-528-5493
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Fax | 718-525-4305
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Authorized Official
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Title or Position | RN
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Name | DAVRON IBRAGIMOV
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Credential |
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Telephone | 513-544-8163
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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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