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General NPI Number Information
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NPI Number | 1881069607
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Entity Type | Organization
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Legal Business Name | OCEAN STATE HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 12/04/2015
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Last Update Date | 12/04/2015
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Provider Practice Location Address
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Address Line | 64 AIRPORT RD
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City | WARWICK
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State | RI
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Zip | 02889-1036
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Country | US
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Telephone | 401-738-2560
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Fax |
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Provider Business Mailing Address
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Address Line | 64 AIRPORT RD
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City | WARWICK
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State | RI
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Zip | 02889-1036
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Country | US
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Telephone | 401-738-2560
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RACHANA MAK
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Credential | BS
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Telephone | 407-412-8121
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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 | HNC02376
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License Number State | RI
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