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General NPI Number Information
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NPI Number | 1881994762
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Entity Type | Organization
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Legal Business Name | BRYAN SKILLED HOME CARE INC
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Dates
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Enumeration Date | 10/26/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 365 BROADWAY STE 4
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City | AMITYVILLE
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State | NY
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Zip | 11701
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Country | US
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Telephone | 631-608-8523
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Fax | 631-608-2859
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Provider Business Mailing Address
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Address Line | 365 BROADWAY STE 4
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City | AMITYVILLE
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State | NY
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Zip | 11701
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Country | US
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Telephone | 631-608-8523
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Fax | 631-608-2859
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Authorized Official
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Title or Position | ADM
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Name | MRS. CATHY MADDEN
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Credential | RN
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Telephone | 631-608-8523
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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 | 1817L
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 1817L
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 1817L001
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 1817L
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 1817L001
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 1817L
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1817L001
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License Number State | NY
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