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General NPI Number Information
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NPI Number | 1861019887
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Entity Type | Organization
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Legal Business Name | ACTIONCARE INC
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Dates
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Enumeration Date | 06/26/2020
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Last Update Date | 06/26/2020
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Provider Practice Location Address
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Address Line | 2000 BRENTWOOD RD
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City | BRENTWOOD
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State | NY
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Zip | 11717-4653
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Country | US
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Telephone | 631-819-2220
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Fax |
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Provider Business Mailing Address
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Address Line | 33 GRANT AVE
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City | BAY SHORE
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State | NY
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Zip | 11706-1034
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Country | US
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Telephone | 631-819-2230
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | KOBINA EKUMFI
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Credential |
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Telephone | 631-819-2230
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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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