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General NPI Number Information
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NPI Number | 1871001073
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Entity Type | Organization
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Legal Business Name | LOVE & CARE RESPITE SERVICES LLC
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Dates
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Enumeration Date | 01/22/2018
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Last Update Date | 01/22/2018
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Provider Practice Location Address
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Address Line | 621 NARRAGANSETT AVE
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City | EAST PATCHOGUE
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State | NY
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Zip | 11772-5133
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Country | US
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Telephone | 631-388-4571
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Fax |
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Provider Business Mailing Address
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Address Line | 621 NARRAGANSETT AVE
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City | EAST PATCHOGUE
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State | NY
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Zip | 11772-5133
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Country | US
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Telephone | 631-388-4571
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JACQUELINE LIGGONS
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Credential |
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Telephone | 631-388-4571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State | NY
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