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General NPI Number Information
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NPI Number | 1770566127
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Entity Type | Organization
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Legal Business Name | HOME AIDES OF ROCKLAND, INC.
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 06/15/2011
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Provider Practice Location Address
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Address Line | 151 S MAIN ST SUITE LL8
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City | NEW CITY
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State | NY
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Zip | 10956-3516
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Country | US
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Telephone | 845-634-2024
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Fax | 845-634-2644
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Provider Business Mailing Address
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Address Line | 151 S MAIN ST SUITE LL8
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City | NEW CITY
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State | NY
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Zip | 10956-3516
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Country | US
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Telephone | 845-634-2024
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Fax | 845-634-2644
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. CECILIA J HALVERSON
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Credential |
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Telephone | 845-634-2024
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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 | 0183L001
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License Number State | NY
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