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General NPI Number Information
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NPI Number | 1902213739
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Entity Type | Organization
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Legal Business Name | ANDREA JANUSZ
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 07/14/2014
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Provider Practice Location Address
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Address Line | 44 ARMOUR ST
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City | LONG BEACH
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State | NY
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Zip | 11561-2502
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Country | US
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Telephone | 516-426-5107
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Fax |
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Provider Business Mailing Address
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Address Line | 44 ARMOUR ST
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City | LONG BEACH
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State | NY
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Zip | 11561
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Country | US
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Telephone | 516-426-5107
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Fax |
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Authorized Official
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Title or Position | LPN
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Name | MS. ANDREA MARIE JANUSZ
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Credential | LPN
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Telephone | 516-426-5107
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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 | 288867-1
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License Number State | NY
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