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General NPI Number Information
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NPI Number | 1801584990
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Entity Type | Organization
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Legal Business Name | FORME HOME CARE INC
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Dates
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Enumeration Date | 04/26/2023
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 7-11 S BROADWAY
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City | WHITE PLAINS
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State | NY
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Zip | 10601-3531
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Country | US
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Telephone | 845-291-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 815 STATE ROUTE 208
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City | MONROE
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State | NY
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Zip | 10950-1910
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | YITZCHOK EKSTEIN
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Credential |
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Telephone | 845-500-3621
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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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