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General NPI Number Information
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NPI Number | 1871993022
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Entity Type | Organization
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Legal Business Name | SENIOR HOME CARE AGENCY, LLC
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Dates
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Enumeration Date | 08/25/2014
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Last Update Date | 08/25/2014
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Provider Practice Location Address
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Address Line | 3601 HEMPSTEAD TPKE SUITE 203
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City | LEVITTOWN
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State | NY
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Zip | 11756-1375
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Country | US
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Telephone | 646-545-1235
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Fax | 516-520-0400
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Provider Business Mailing Address
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Address Line | 3601 HEMPSTEAD TPKE SUITE 203
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City | LEVITTOWN
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State | NY
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Zip | 11756-1375
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Country | US
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Telephone | 646-545-1235
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Fax | 516-520-0400
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Authorized Official
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Title or Position | CEO
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Name | MS. KEISHA ANNMARIE HYMAN
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Credential |
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Telephone | 646-244-9744
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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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