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General NPI Number Information
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NPI Number | 1760966451
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Entity Type | Organization
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Legal Business Name | ALLEGIANT HOME CARE, LLC
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Dates
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Enumeration Date | 09/19/2018
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Last Update Date | 09/19/2018
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Provider Practice Location Address
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Address Line | 3100 VETERANS MEMORIAL HWY
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City | BOHEMIA
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State | NY
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Zip | 11716-1052
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Country | US
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Telephone | 631-476-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 641 LEXINGTON AVE STE 622
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City | NEW YORK
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State | NY
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Zip | 10022-4579
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Country | US
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Telephone | 212-781-0101
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DAVID JONES
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Credential |
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Telephone | 212-781-0101
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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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