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General NPI Number Information
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NPI Number | 1942656707
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Entity Type | Organization
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Legal Business Name | AMAZING GRACE HOME CARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 05/11/2016
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Last Update Date | 08/15/2016
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Provider Practice Location Address
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Address Line | 1575 STATE ST
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City | SCHENECTADY
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State | NY
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Zip | 12304-1521
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Country | US
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Telephone | 518-444-4949
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Fax | 518-444-3009
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Provider Business Mailing Address
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Address Line | 1575 STATE ST
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City | SCHENECTADY
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State | NY
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Zip | 12304-1521
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Country | US
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Telephone | 518-444-4949
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Fax | 518-444-3009
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Authorized Official
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Title or Position | ADMIN/OWNER
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Name | MR. AUGUSTUS AMASHA
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Credential |
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Telephone | 518-444-4949
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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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