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General NPI Number Information
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NPI Number | 1861763872
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Entity Type | Organization
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Legal Business Name | MICAL HOME HEALTH CARE, INC
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Dates
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Enumeration Date | 01/23/2012
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 1250 EDWARD L GRANT HWY
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City | BRONX
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State | NY
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Zip | 10452-3100
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Country | US
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Telephone | 718-588-5100
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Fax | 718-588-5101
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Provider Business Mailing Address
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Address Line | 1250 EDWARD L GRANT HWY
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City | BRONX
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State | NY
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Zip | 10452-3100
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Country | US
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Telephone | 718-588-5100
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Fax | 718-588-5101
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | DR. ARTHUR ANYAH
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Credential | MBA, MED, PH.D
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Telephone | 718-588-5100
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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 | 1522L001
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License Number State | NY
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