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General NPI Number Information
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NPI Number | 1881270890
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Entity Type | Organization
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Legal Business Name | AUGUST WATER HOME CARE SERVICES INC
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Dates
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Enumeration Date | 03/20/2021
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Last Update Date | 04/07/2021
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Provider Practice Location Address
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Address Line | 300 CATHEDRAL PKWY APT 14H
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City | NEW YORK
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State | NY
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Zip | 10026-4055
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Country | US
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Telephone | 646-342-8173
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Fax |
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Provider Business Mailing Address
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Address Line | 300 CATHEDRAL PKWY APT 14H
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City | NEW YORK
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State | NY
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Zip | 10026-4055
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Country | US
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Telephone | 646-342-8173
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Fax |
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | MR. GREGORY A ATWATER
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Credential |
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Telephone | 646-342-8173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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