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General NPI Number Information
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NPI Number | 1750897781
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Entity Type | Organization
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Legal Business Name | RSGHOMEAGENCYCORP
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Dates
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Enumeration Date | 12/28/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 8131 BAXTER AVE APT 4G
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City | ELMHURST
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State | NY
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Zip | 11373-1317
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Country | US
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Telephone | 929-363-2799
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Fax |
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Provider Business Mailing Address
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Address Line | 8131 BAXTER AVE APT 4G
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City | ELMHURST
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State | NY
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Zip | 11373-1317
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Country | US
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Telephone | 929-363-2799
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Fax |
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Authorized Official
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Title or Position | ASSISTANT
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Name | ROBYLEN S JAVIER
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Credential |
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Telephone | 929-363-2799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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