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General NPI Number Information
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NPI Number | 1780118620
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Entity Type | Organization
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Legal Business Name | RELIANCE HOME SENIOR SERVICES
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Dates
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Enumeration Date | 04/18/2017
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Last Update Date | 04/18/2017
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Provider Practice Location Address
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Address Line | 1035 PARK BLVD
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City | MASSAPEQUA PARK
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State | NY
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Zip | 11762-2743
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Country | US
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Telephone | 516-308-4840
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Fax | 516-809-9338
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Provider Business Mailing Address
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Address Line | 1035 PARK BLVD
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City | MASSAPEQUA PARK
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State | NY
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Zip | 11762-2743
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Country | US
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Telephone | 516-308-4840
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Fax | 516-809-9338
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Authorized Official
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Title or Position | ADMIN
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Name | MRS. DANA LYN ARNONE
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Credential |
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Telephone | 516-308-4840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number | 1186L001
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License Number State | NY
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