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General NPI Number Information
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NPI Number | 1871032722
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Entity Type | Organization
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Legal Business Name | CHRISTINE HOME CARE SERVICES,INC
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 02/13/2017
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Provider Practice Location Address
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Address Line | 12013 LIBERTY AVE
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-2117
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Country | US
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Telephone | 718-843-8449
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Fax | 718-843-8436
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Provider Business Mailing Address
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Address Line | 120-13 LIBERTY AVE
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City | RICHMOND HILL
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State | NY
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Zip | 11419
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Country | US
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Telephone | 718-843-8449
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Fax | 718-843-8436
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTINE PERSAUD
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Credential | CHRISTINE PERSAUD
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Telephone | 917-592-8686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 1878L001
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1878L001
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License Number State | NY
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