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General NPI Number Information
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NPI Number | 1851732564
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Entity Type | Organization
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Legal Business Name | REDMOON PRIVATE CAREGIVERS AND CONSULTANTS
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Dates
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Enumeration Date | 07/10/2013
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Last Update Date | 07/10/2013
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Provider Practice Location Address
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Address Line | 222 S ALBANY ST SUITE1
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City | ITHACA
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State | NY
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Zip | 14850-5471
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Country | US
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Telephone | 607-254-6090
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Fax | 607-254-6091
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Provider Business Mailing Address
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Address Line | 222 S ALBANY ST SUITE1
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City | ITHACA
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State | NY
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Zip | 14850-5471
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Country | US
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Telephone | 607-254-6090
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Fax | 607-254-6091
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Authorized Official
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Title or Position | CO-OWNER
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Name | MS. ROBIN M SOTO
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Credential | RN
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Telephone | 607-254-6090
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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 | 1236L001
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License Number State | NY
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