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General NPI Number Information
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NPI Number | 1811553746
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Entity Type | Organization
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Legal Business Name | PERFECT GENTLE HANDS HOMECARE INC
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Dates
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Enumeration Date | 05/16/2019
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Last Update Date | 05/16/2019
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Provider Practice Location Address
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Address Line | 9211 172ND ST FL 2
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City | JAMAICA
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State | NY
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Zip | 11433-1218
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Country | US
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Telephone | 347-809-4407
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Fax | 347-960-7169
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Provider Business Mailing Address
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Address Line | 9211 172ND ST FL 2
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City | JAMAICA
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State | NY
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Zip | 11433-1218
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Country | US
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Telephone | 347-809-4407
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Fax | 347-960-7169
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Authorized Official
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Title or Position | C.E.O
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Name | DOREEN J JOHNSON
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Credential | H.H.A
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Telephone | 347-809-4407
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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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